Active NPIIndividual providerSole proprietor

Jessie Odegard, MSW, LICSW

Social Worker in Lynn, Massachusetts

NPI Number1962719864
Practice location
112 Market St Fl 2, Lynn, MA 01901-1125
Fax
—
Last updated
February 18, 2014

Jessie Odegard is a Social Worker based in Lynn, MA. Jessie Odegard practices in Lynn, MA and has the professional credentials of MSW, LICSW. The NPI Number for Jessie Odegard is 1962719864 and holds a License No. 117923 (MA). The current practice location address for Jessie Odegard is 112 Market St Fl 2, Lynn, MA 01901-1125 and can be reached out via phone at 781-592-5691.

Provider Profile Details

NPI Number
1962719864
Provider Name
Jessie Odegard
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
112 Market St Fl 2, Lynn, MA 01901-1125
Phone Number
781-592-5691
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 13, 2010
Last Update Date
February 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Market St Fl 2
Lynn, MA 01901-1125
City
Lynn
Zip
01901-1125
Phone Number
781-592-5691
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
112 Market St Fl 2
Lynn, MA 01901-1125
City
Lynn
State
MA
Zip
01901-1125

License Information

License Number
117923
License State
MA
Taxonomy
Social Worker · 104100000X · 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 Jessie Odegard, MSW, LICSW?

The NPI number of Jessie Odegard, MSW, LICSW is 1962719864. It was assigned on September 13, 2010 and is currently active in the NPPES registry.

What is the specialty of Jessie Odegard, MSW, LICSW?

Jessie Odegard, MSW, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 117923.

Where does Jessie Odegard, MSW, LICSW practice?

The practice location is 112 Market St Fl 2, Lynn, MA 01901-1125. The office can be reached at 781-592-5691 (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 1962719864 directly on the NPPES registry website.

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