Individual provider Active NPI

Janie Odems, LCSW

  • Clinical Social Worker
  • Hockley, TX
National Provider Identifier
1801612734
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103657 Issued in TX
Practice address
17002 Daylily Dune Way
Hockley, TX 77447-2410
Phone
(832) 416-5513
NPI assigned
Nov 25, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103657 TX Primary

Addresses

Primary practice location

17002 Daylily Dune Way
Hockley, TX 77447-2410

Mailing address

17002 Daylily Dune Way
Hockley, TX 77447-2410
Phone (832) 416-5513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103657TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1801612734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17002 DAYLILY DUNE WAY",
            "city": "HOCKLEY",
            "state": "TX",
            "postal_code": "774472410",
            "telephone_number": "832-416-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17002 DAYLILY DUNE WAY",
            "city": "HOCKLEY",
            "state": "TX",
            "postal_code": "774472410",
            "telephone_number": "832-416-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEMS",
        "first_name": "JANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockley, TX

Sources for this page

Verify at the official NPI Registry.