Audwin Lewis Odom, MSW, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1047 Issued in DE

Practice address

1902A Maryland Ave
Wilmington, DE 19805-4605

Phone

(302) 655-7108

Fax

(302) 655-0689

NPI assigned

Feb 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1285956615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902A MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-655-7108",
            "fax_number": "302-655-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902A MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-655-7108",
            "fax_number": "302-655-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "AUDWIN",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "MSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "1047",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Delaware, P.a.
• Christina Diane Oconnor, LCSW/ICADC
• Margaret Odiorne
• Rachel Emily Odland, DO
• Uzoamaka Odoemena, MD
• Mykhia Odom, LCSW
• Ayo Oduneye
• Odyssey Charter School
• Margaret Andrea Oertel, PTA
• Carol A Oesterbo, DTR

• Addiction (Substance Use Disorder) Counselor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Addiction (Substance Use Disorder) Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.