Jackie O'Dell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0000003919 Issued in TN

Legal business name

JACKIE O'DELL

Practice address

1202 Fatherland St
Nashville, TN 37206-2908

Phone

(615) 879-4113

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Jackie O'Dell, LCSW

Title

Social Worker

Phone

(615) 879-4113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1386021152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 FATHERLAND ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372062908",
            "telephone_number": "615-879-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 FATHERLAND ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372062908",
            "telephone_number": "615-879-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE O'DELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "615-879-4113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000003919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Raven Jabber, DMD
• Kathy Jabs, MD
• Cheryl Jack, RN
• Meg Elizabeth Jack, MD
• Jackie L. Stankiewicz, PH.D.
• Jackie-D-Yak, LLC
• Jackson Anesthesia Services PC
• Jackson Health Care LLC
• Jackson Homecare Ministries 1
• Jackson Park Christian Home, Inc.

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.