MR. GARY ODOM
NPI 1427219484
Social Worker - Clinical in Long Beach, CA

Active since June 23, 2008PECOS Enrolled
100 OCEANGATE, SUITE 550, LONG BEACH, CA 90802(562) 713-2614 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Gary Odom NPPES

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

MR. GARY ODOM (NPI 1427219484) is an individual clinical provider in Long Beach, California, licensed in California (71560) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427219484
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. GARY ODOM
Location Address100 OCEANGATE, SUITE 550Long Beach, CA 90802-4312
Mailing Address100 Oceangate, Suite 550Long Beach, CA 90802-2426 · (562) 713-2614
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 23, 2008
Last NPPES UpdateJuly 18, 2016
NPI 1427219484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CA · 71560 Licensed in CA · 33642
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.

100 OCEANGATE, Long Beach, CA 90802

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Gary Odom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214430800
PECOS Enrollment IDI20250910003311
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 90802 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 14

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

Public Health or Welfare
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802
Case Manager/Care Coordinator
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802
Community Health Worker
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802
Social Worker (Clinical)
100 OCEANGATE, 550
LONG BEACH, CA 90802
Marriage & Family Therapist
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802
Chiropractor
100 OCEANGATE, STE P 280
LONG BEACH, CA 90802
Social Worker (Clinical)
100 OCEANGATE, STE 550
LONG BEACH, CA 90802
Social Worker (Clinical)
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427219484, enumerated as an "individual" on June 23, 2008.

The provider is located at 100 OCEANGATE SUITE 550 LONG BEACH, CA 90802 and the phone number is (562) 713-2614.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.