MS. AMBER NICOLE ODOM MSW, LCSW(CA 129938)
NPI 1619327947
Social Worker - Clinical in Diamond Springs, CA

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment
4250 FOWLER LN STE 204, DIAMOND SPRINGS, CA 95619(530) 626-3105 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Oct 24, 2022, Jul 21, 2020 and 3 more (6 updates tracked since 2016).

About Ms. Amber Nicole Odom Msw, Lcsw(ca 129938) NPPES

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

MS. AMBER NICOLE ODOM MSW, LCSW(CA 129938) (NPI 1619327947) is an individual clinical provider in Diamond Springs, California, licensed in California (LCSW129938) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619327947
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. AMBER NICOLE ODOMCredential: MSW, LCSW(CA 129938)
Location Address4250 FOWLER LN STE 204Diamond Springs, CA 95619-9782
Mailing Address3600 Data Dr Apt 57Rancho Cordova, CA 95670-7907 · (703) 853-0789
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 17, 2016
Last NPPES UpdateJuly 16, 20266 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1619327947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · LCSW129938✔ Licensed in TX · 117372
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.
Also ListedSocial WorkerTaxonomy 104100000X
4250 FOWLER LN STE 204, Diamond Springs, CA 95619

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Amber Nicole Odom Msw, Lcsw(ca 129938) 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 ID2860992500
PECOS Enrollment IDI20250826002443
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.

Medicare Billing Reassignment

Medicare enrollment records show Amber Odom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2804 CAMINO DOS RIOS STE 206
Thousand Oaks, CA 91320
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95619 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 $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Case Manager/Care Coordinator
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619
Counselor (Professional)
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619
Case Manager/Care Coordinator
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619
Marriage & Family Therapist
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619
Case Manager/Care Coordinator
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619
Student in an Organized Health Care Education/Training Program
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619
Marriage & Family Therapist
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619
Marriage & Family Therapist
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619

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 Amber Odom's NPI number?

The NPI number for Amber Odom is 1619327947. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Amber Odom located?

Amber Odom practices at 4250 Fowler Ln Ste 204, Diamond Springs, CA 95619. The listed phone number is (530) 626-3105.

What is Amber Odom's specialty?

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

Is Amber Odom enrolled in Medicare?

Yes. Amber Odom 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.

Which organization bills Medicare for Amber Odom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Odom reassigns Medicare benefits to Thriveworks Clinical - California PC (Thousand Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Odom accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Amber Odom 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 Amber Odom was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.