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IFEOMA ODOR LICSW
NPI 1063237592
Social Worker - Clinical in New Brighton, MN

Active since November 19, 2024PECOS EnrolledAccepts Medicare Assignment
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112(651) 628-9566(651) 628-0411 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ifeoma Odor Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IFEOMA ODOR LICSW (NPI 1063237592) is an individual clinical provider in New Brighton, Minnesota, licensed in Minnesota (27933) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063237592
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameIFEOMA ODORCredential: LICSW
Location Address1900 SILVER LAKE RD NW STE 110New Brighton, MN 55112-1789
Mailing Address8100 Emerson Ave SBloomington, MN 55420-1051 · (952) 486-1449
Phone(651) 628-9566
Fax(651) 628-0411
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 19, 2024
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1063237592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 27933
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1900 SILVER LAKE RD NW STE 110, New Brighton, MN 55112
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Secondary Practice Location 1

Location 11206 42nd Ave NMinneapolis, MN 55412-1611 · Phone (952) 486-1449

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ifeoma Odor Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476069527
PECOS Enrollment IDI20250724000577
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID HAWKINSON
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
MR. CRAIG SCHLEISMAN MA, LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
EMMA FUHRMAN
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KALENE HAUGEN LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
EMILY JUAIRE LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
VANESSA ANN KISSINGER LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
JODI MARIE HOLZEMER
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
MR. ROBERT WAYNE EDDY MA, LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ifeoma Odor's NPI number?

The NPI number for Ifeoma Odor is 1063237592. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Ifeoma Odor located?

Ifeoma Odor practices at 1900 Silver Lake Rd NW Ste 110, New Brighton, MN 55112. The listed phone number is (651) 628-9566.

What is Ifeoma Odor's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ifeoma Odor enrolled in Medicare?

Yes. Ifeoma Odor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ifeoma Odor accept?

Health plans from HealthPartners, Providence Health Plan and Sanford Health Plan list Ifeoma Odor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ifeoma Odor was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.