Samuel Odom, MA, MSW, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5089 Issued in LA

Practice address

1585 3Rd St
Fort Polk, LA 71459-5102

Phone

(337) 531-3922

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922123496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 PARRY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701281266",
            "telephone_number": "504-430-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "SAMUEL",
        "credential": "MA, MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Muncy
• Dane Hamilton Nerad, DO
• Cheri Phelps Nesom, RN NURSE CASE MANAGE
• Jeanette Nichols, FNP-C
• Elizabeth Cheryl Nolen, M.S.W. , L.C.S.W.
• Jeffrey D Olfert, PA-C
• Lauren Nicole Olmstead, OD
• Optical Center
• Valentino Isaac Parris, FNP
• Meghan Patoray, ATC

• Clinical Social Worker in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.