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

Mr. Gary Odom

Individual provider Clinical Social Worker · NPI 1427219484

Mr. Gary Odom is a Clinical Social Worker in Long Beach, California. Qualified in 2012, 14 years ago. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2008
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Oceangate Ste 550
Long Beach, CA 90802-4312
Phone: (562) 713-2614
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 71560 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 33642 (CA)

Record details

NPI number1427219484
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2008
Last updated in NPPESJuly 18, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Long Beach