MR. ANDREW TYLER ODOM BS
NPI 1992143960
Social Worker in Boise, ID

Active since June 12, 2013
9196 W EMERALD ST STE 135, BOISE, ID 83704(208) 323-4400 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andrew Tyler Odom Bs NPPES

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

MR. ANDREW TYLER ODOM BS (NPI 1992143960) is an individual social worker in Boise, Idaho and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1992143960
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. ANDREW TYLER ODOMCredential: BS
Location Address9196 W EMERALD ST STE 135Boise, ID 83704-8004
Mailing Address9196 W Emerald St Ste 135Boise, ID 83704-8004 · (208) 323-4400
Sole ProprietorNo
Enumeration DateJune 12, 2013
Last NPPES UpdateDecember 15, 2014
NPI 1992143960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
9196 W EMERALD ST STE 135, Boise, ID 83704

Other Names 1

Other Name (5)Andrew T Odom Bs

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
9196 W EMERALD ST STE 135
BOISE, ID 83704
Counselor (Professional)
9196 W EMERALD ST STE 135
BOISE, ID 83704
Case Manager/Care Coordinator
9196 W EMERALD ST STE 135
BOISE, ID 83704

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 Andrew Odom's NPI number?

The NPI number for Andrew Odom is 1992143960. It was assigned to this individual provider in the NPPES registry on June 12, 2013. The provider is also known as Andrew T Odom Bs.

Where is Andrew Odom located?

Andrew Odom practices at 9196 W Emerald St Ste 135, Boise, ID 83704. The listed phone number is (208) 323-4400.

What is Andrew Odom's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Andrew Odom was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.