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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: August 09, 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
Phone(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
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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.

U.S. HEALTHWORKS MEDICAL GROUP, PC
Clinic/Center (Urgent Care)
100 OCEANGATE, P245
LONG BEACH, CA 90802
Los Angeles County (562) 432-2821
MS. CATHY ANN WARNER LCSW
Public Health or Welfare
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802
Los Angeles County (562) 435-3037
TIBURCIO MALDONADO
Community Health Worker
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802
Los Angeles County (562) 435-2097
MS. APRIL HAGERTY LCSW
Social Worker (Clinical)
100 OCEANGATE, 550
LONG BEACH, CA 90802
Los Angeles County (562) 435-2078
MS. PATRICIA LELA WILLIAMS N/A
Day Training/Habilitation Specialist
100 OCEANGATE, #550
LONG BEACH, CA 90802
Los Angeles County (562) 435-3037
MR. JUAN A VELAZQUEZ COMUNITY WORKER
Day Training/Habilitation Specialist
100 OCEANGATE, STE 550
LONG BEACH, CA 90802
Los Angeles County (310) 951-6829
EMILY G. SERNA MSW
Social Worker (Clinical)
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802
Los Angeles County (562) 435-3106
MS. MEGGAN GIBSON
Case Manager/Care Coordinator
100 OCEANGATE, SUITE 550
LONG BEACH, CA 90802
Los Angeles County (562) 435-3037

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 Gary Odom's NPI number?

The NPI number for Gary Odom is 1427219484. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Gary Odom located?

Gary Odom practices at 100 Oceangate Suite 550, Long Beach, CA 90802. The listed phone number is (562) 713-2614.

What is Gary Odom's specialty?

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

Is Gary Odom enrolled in Medicare?

Yes. Gary Odom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Odom was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.