Eleanor Grace Odermatt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW62901 Issued in CA

Practice address

21633 Avenue 24
Chowchilla, CA 93610-9650

Phone

(559) 665-6100

NPI assigned

Sep 17, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Department of Corrections &Rehabilitation

  • Rural Health Clinic/Center
  • Chowchilla, CA
  • NPI 1073710398
  NPD (past)
• State of California

  dba California Correctional Health Care Services

  • Prison Health Clinic/Center
  • Chowchilla, CA
  • NPI 1316322647
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1205486602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936100099",
            "telephone_number": "559-665-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21633 AVENUE 24",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936109650",
            "telephone_number": "559-665-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODERMATT",
        "first_name": "ELEANOR",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW62901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleanor.odermatt@cdcr.ca.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21633 Avenue 24",
            "city": "Chowchilla",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936109650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hao T Ngo, PHARMD
• Nicholas E Nomicos MD Inc
• Gildebrand Gabertan Nicolas
• Kory Nieuwkoop, BS, RDH, RDHAP
• Nicholas Eugene Nomicos, M.D.
• Cinder Marie Okuda, D.C.
• Edward Oleksy, PH.D.
• Jodena Opheim, PSY.D.
• Irosimhe Orbih-Chukwuocha, PSYD
• Laura Orozco

• Clinical Social Worker in Chowchilla, CA
• Providers in Chowchilla, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.