George Odembo

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

213 Patton Dr Ste C
Shelby, NC 28150-4674

Phone

(704) 487-4440

Fax

(704) 487-1511

NPI assigned

Sep 9, 2009

Last updated

Sep 12, 2025By the provider in NPPES

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

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1982937967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PATTON DRIVE, SUITE C.",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504696",
            "telephone_number": "704-487-4440",
            "fax_number": "704-487-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PATTON DR STE C",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504674",
            "telephone_number": "704-487-4440",
            "fax_number": "704-487-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1429 N Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503406",
            "country_code": "US",
            "telephone_number": "704-473-6343",
            "fax_number": "704-487-1511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 Patton Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281504674",
            "country_code": "US",
            "telephone_number": "704-487-4440",
            "fax_number": "704-487-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODEMBO",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2025-09-12",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Shelby, NC
• Providers in Shelby, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.