Active NPI
Brian Jessy Oduguwa, MSW, LICSW
- Clinical Social Worker
- Plymouth, MN
National Provider Identifier
1497358733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22350
- Practice address
- Address: 10000 Hwy 55
Suite 200
Plymouth, MN 55441 - Phone
- (612) 217-2019
- NPI assigned
- Nov 19, 2020
- Last updated
- Apr 17, 2026
- Sex
- Male
- 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 | 22350 | MN | Primary |
Addresses
Primary practice location
Address: 10000 Hwy 55
Suite 200
Plymouth, MN 55441
Mailing address
1904 14TH St S
Saint Cloud, MN 56301-4813
Phone (763) 772-7737
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey Insights Counseling LLC | Clinical | Current | Accepting new patients |
| Peak Behavioral Health, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owatonna, MN
- NPI 1497569131
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1497358733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 14TH ST S",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014813",
"telephone_number": "763-772-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ADDRESS: 10000 HWY 55",
"address_2": "SUITE 200",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55441",
"telephone_number": "612-217-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUGUWA",
"first_name": "BRIAN",
"middle_name": "JESSY",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "22350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.