Avis M Odom, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018386 Issued in NC

Practice address

318 W Columbus St
Whiteville, NC 28472-3902

Phone

(910) 625-1474

NPI assigned

Dec 11, 2012

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

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 and National Provider Directory roles.

• Southeastern Services & More LLC

  • Multi-Specialty Clinic/Center
  • Whiteville, NC
  • NPI 1497476386
  NPD (past)

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1295070639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W COLUMBUS ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723902",
            "telephone_number": "910-625-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W COLUMBUS ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723902",
            "telephone_number": "910-625-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "AVIS",
        "middle_name": "M",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nu Eyes Inc
• Nurturing Hands Home Care
• Jacqueline O'Kane, FNP
• Brenden O'Neill
• William Frederick Obrecht II, M.D.
• Shamusideen Olayibo Ogbulu, MD
• James Richard Oles, PA-C
• On Time Co 68 LLC
• Emmanuel Tunde Osinuga, MD
• Anajinette Owens, LCSW-A

• Clinical Social Worker in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.