MS. MARY M. ODOM (NPI# 1285049791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285049791 |
| Entity Type | Individual |
| Full Name | MS. MARY M. ODOM |
| Credential | LCSW |
| Practice Address |
708 Highway 65 S Dumas AR 71639-3004 |
| Mailing Address |
790 Roberts Drive Monticello AR 71655 |
| Practice Telephone | 8703824001 |
| Practice Fax Number | 8703826094 |
| Mailing Telephone | 8703672461 |
| Mailing Fax Number | 8704606133 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6940C | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922565829 | Mary Elizabeth Odom | Registered Nurse | 13500 N El Mirage Rd, El Mirage, AZ 85335-2469 | 2019-02-27 |
| Street Address |
708 HIGHWAY 65 S |
| City | DUMAS |
| State | AR |
| Zip Code | 71639-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811927387 | Loretta Irene Boyd | Licensed Practical Nurse | 708 Highway 65 S, Dumas, AR 71639-3004 | 2006-07-03 |
| 1760735294 | Katie Elliott | Social Worker | 708 Highway 65 S, Dumas, AR 71639-3004 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619444338 | Susan K Cingolani | Licensed Practical Nurse | 741 Hwy 65 South, Dumas, AR 71639 | 2018-10-31 |
| 1497993166 | Cecily Shae Forrest | Case Manager/Care Coordinator | 708 Hwy 65 South, Dumas, AR 71639 | 2009-02-03 |
| 1922277714 | Amber Gail Bratton | Case Manager/Care Coordinator | 139 S Main Street, Dumas, AR 71639 | 2008-02-26 |
| 1891919189 | Jodie Partridge Center | Day Training, Developmentally Disabled Services | 1180 Highway 165, Dumas, AR 71639 | 2007-04-11 |
| 1487796520 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 611 Us Hwy 65 South, Suite A, Dumas, AR 71639 | 2007-02-13 |
| 1629092929 | Delta Memorial Hospital | Home Health | Hwy 65 North, Dumas, AR 71639 | 2006-07-27 |
| 1295767689 | Delta Memorial Hospital | General Acute Care Hospital | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-07 |
| 1174569206 | City of Dumas | Ambulance | 149 E Waterman St, Dumas, AR 71639 | 2006-06-20 |
| 1346285533 | Lisa M Holaday | Specialist | 811 Hwy 5 S, Dumas, AR 71639 | 2006-06-19 |
| 1518909605 | Shamim A Malik | Psychiatry & Neurology | Delta Memorial Hospital, 811 Highway 65 South, Dumas, AR 71639 | 2006-06-12 |
| Find all providers in zip 71639 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760735294 | Katie Elliott | Social Worker | 708 Highway 65 S, Dumas, AR 71639-3004 | 2012-10-22 |
| 1326185067 | Belvia C. Wilkins | Social Worker | 139 S Main St, Dumas, AR 71639-2222 | 2007-01-31 |
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|---|---|---|---|---|
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| 1225662190 | Felix E Pekar | Social Worker | 1010 Rock St, Little Rock, AR 72202-5111 | 2020-02-28 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.