Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James T. Dedeaux Jr., MSW

Individual provider Clinical Social Worker · NPI 1720275837

James T. Dedeaux Jr., MSW is a Clinical Social Worker in Odessa, Washington. Qualified in 1978, 48 years ago. Practices with Lincoln County Public Hospital District 1, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi and Washington.

Years since qualifying
48
Licensed in
MS, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

510 E Amende Dr
Odessa, WA 99159-7003
Phone: (228) 218-5324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60980572 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence C4478 (MS)

Record details

NPI number1720275837
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorYes
NPI enumeratedOctober 2, 2007
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Lincoln County Public Hospital District 1 — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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