Active NPI
Tijuana Odom, LCSW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1285183517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12280
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-0001 - Phone
- (253) 968-2252
- NPI assigned
- Sep 28, 2016
- Last updated
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12280 | FL | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Mailing address
Madigan Army Medial Center
9060 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-2252
Other practice location 1
5439 McCormick Ave
Wright Patterson AFB, OH 45433-5132
Phone (937) 257-6267
Other practice location 2
3250 Zemke Ave
Tampa, FL 33621-5023
Phone (813) 827-9170
Other practice location 3
Unit 3215
Apo, AE 09094-3215
Phone (314) 479-4475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12280 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1285183517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDIAL CENTER",
"address_2": "9060 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-2252"
}
],
"practiceLocations": [
{
"address_1": "5439 McCormick Ave",
"address_purpose": "LOCATION",
"city": "Wright Patterson AFB",
"state": "OH",
"postal_code": "454335132",
"country_code": "US",
"telephone_number": "937-257-6267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3250 Zemke Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336215023",
"country_code": "US",
"telephone_number": "813-827-9170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Unit 3215",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "090943215",
"country_code": "US",
"telephone_number": "314-479-4475",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "ODOM",
"first_name": "TIJUANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "12280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.