Individual provider Active NPI

Brooke O'Dell, LCSW

  • Clinical Social Worker
  • The Dalles, OR
National Provider Identifier
1912482837
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10613 Issued in OR
Practice address
1210 Dry Hollow Rd Ste 4 1/2
The Dalles, OR 97058-3102
Phone
(541) 422-3212
NPI assigned
Sep 26, 2018
Last updated
Jun 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X L10613 OR Primary

Addresses

Primary practice location

1210 Dry Hollow Rd Ste 4 1/2
The Dalles, OR 97058-3102

Mailing address

1210 Dry Hollow Rd Ste 4 1/2
The Dalles, OR 97058-3102
Phone (541) 422-3212

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

State licenses

LicenseStateTypeSpecialty
L10613ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Center for Living CurrentSince Aug 29, 2021 Accepting new patients
Mid-Columbia Center for Living Mental Health CurrentSince Aug 29, 2021 Accepting new patients

Locations

1060 Webber St
The Dalles, OR 97058

419 E 7th St
Ste 207
The Dalles, OR 97058

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.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1912482837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 DRY HOLLOW RD STE 4 1/2",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583102",
            "telephone_number": "541-422-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DRY HOLLOW RD STE 4 1/2",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583102",
            "telephone_number": "541-422-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "BROOKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.