Active NPIIndividual providerSole proprietor

Ms. Odette White Eagle, MSW

Social Worker, Clinical in Wethersfield, Connecticut

NPI Number1497397566
Practice location
27 Town Line RD Ste 3, Wethersfield, CT 06109-4316
Fax
—
Last updated
April 20, 2026

Odette White Eagle is a Social Worker, Clinical based in Wethersfield, CT. Odette White Eagle practices in Wethersfield, CT and has the professional credentials of MSW. The NPI Number for Odette White Eagle is 1497397566 and holds a License No. 15123 (CT). The current practice location address for Odette White Eagle is 27 Town Line RD Ste 3, Wethersfield, CT 06109-4316 and can be reached out via phone at 860-414-5457.

Provider Profile Details

NPI Number
1497397566
Provider Name
Odette White Eagle
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
27 Town Line RD Ste 3, Wethersfield, CT 06109-4316
Phone Number
860-414-5457
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 10, 2019
Last Update Date
April 20, 2026
Certification Date
April 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Town Line RD Ste 3
Wethersfield, CT 06109-4316
Zip
06109-4316
Phone Number
860-414-5457
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
27 Town Line RD Ste 3
Wethersfield, CT 06109-4316
City
Wethersfield
State
CT
Zip
06109-4316
Phone Number
860-414-5457

License Information

License Number
15123
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Odette White Eagle, MSW?

The NPI number of Ms. Odette White Eagle, MSW is 1497397566. It was assigned on October 10, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Odette White Eagle, MSW?

Ms. Odette White Eagle, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 15123.

Where does Ms. Odette White Eagle, MSW practice?

The practice location is 27 Town Line RD Ste 3, Wethersfield, CT 06109-4316. The office can be reached at 860-414-5457 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497397566 directly on the NPPES registry website.

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