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KEAH ODOM
NPI 1801390166
Social Worker - Clinical in Dallas, TX

Active since March 21, 2018PECOS Enrolled
9696 SKILLMAN ST STE 170, DALLAS, TX 75243(469) 680-3500 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Dec 10, 2024, Jul 1, 2024 and 3 more (6 updates tracked since 2018).

About Keah Odom NPPES

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

KEAH ODOM (NPI 1801390166) is an individual clinical provider in Dallas, Texas, licensed in Texas (60335) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Addison.

NPPES Registry Identity

NPI1801390166
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEAH ODOM
Location Address9696 SKILLMAN ST STE 170Dallas, TX 75243-8253
Mailing Address2108 Acosta LnLewisville, TX 75067-6143 · (254) 413-6539
Phone(469) 680-3500
Sole ProprietorNo
Enumeration DateMarch 21, 2018
Last NPPES UpdateDecember 8, 20256 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1801390166 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 TX · 60335
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.
9696 SKILLMAN ST STE 170, Dallas, TX 75243
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Secondary Practice Location 1

Location 116160 Midway Rd Ste 218Addison, TX 75001-4207 · Phone (469) 690-3500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 75243 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 $57.18 – $172.86
Typical copayment $0.00 (range $14.29 – $43.21)
Most-billed visit code NA
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 10

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

DR. MARLON BEACH PHD
Psychologist (Clinical)
9696 SKILLMAN ST STE 170
DALLAS, TX 75243
Dallas County (469) 680-3500
SHAUNA ELLIS LCSW-S
Social Worker (Clinical)
9696 SKILLMAN ST STE 170
DALLAS, TX 75243
Dallas County (469) 680-3500
TINA BARBETTE DOYLE-HINES LPC
Counselor (Professional)
9696 SKILLMAN ST STE 170
DALLAS, TX 75243
Dallas County (469) 680-3500
TONI A ROBINSON
Counselor (Mental Health)
9696 SKILLMAN ST STE 170
DALLAS, TX 75243
Dallas County (469) 680-3500
ALICIA TRAPP LCDC
Counselor (Addiction (Substance Use Disorder))
9696 SKILLMAN ST STE 170
DALLAS, TX 75243
Dallas County (469) 680-3500
DR. CHELSEA E FIDUCCIA PHD
Psychologist (Clinical)
9696 SKILLMAN ST STE 170
DALLAS, TX 75243
Dallas County (469) 680-3500
MRS. NICOLE REED
Counselor (Professional)
9696 SKILLMAN ST STE 170
DALLAS, TX 75243
Dallas County (469) 680-3500
MR. ORAN LAMERO PRYOR M.A., LPC
Counselor (Professional)
9696 SKILLMAN ST STE 170
DALLAS, TX 75243
Dallas County (469) 680-6500

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 Keah Odom's NPI number?

The NPI number for Keah Odom is 1801390166. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Keah Odom located?

Keah Odom practices at 9696 Skillman St Ste 170, Dallas, TX 75243. The listed phone number is (469) 680-3500.

What is Keah Odom's specialty?

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

Is Keah Odom enrolled in Medicare?

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

What insurance does Keah Odom accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Keah 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 Keah Odom was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.