Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDREW TYLER ODOM, BS
ActiveMR. ANDREW TYLER ODOM, BS is a Social Worker healthcare provider located in BOISE, Idaho. NPI 1992143960 is currently active in the NPPES registry. Verify at CMS.
Social Worker · BOISE, ID
Registration Details
- NPI Number
- 1992143960
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2013 (13.147957534786 yrs)
- Last Updated
- Dec 15, 2014
Practice Information
- Address
-
9196 W EMERALD ST STE 135BOISE, ID, 837048004Browse ID providers · Browse ZIP 83704
- Phone
- 2083234400
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| JEANNE MELTON | MSW | 1619986957 |
| MR. JOSHUA CHARLES BODE | LCSW | 1003826405 |
| MRS. NANCY LEE DANIELS | LMSW | 1386655827 |
| MR. THOMAS JAMES HOGAN | LMSW | 1043223720 |
| MR. DAVID A TEED | LCSW | 1437261401 |
| MS. GAIL M BACCHESCHI | MSW | 1154404341 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.