Individual provider · Type 1 NPI

Amanda Evelyn Odendahl

Clinical Social Worker · Poughkeepsie, NY

NPI number 1053215822 Active

Practice location

11 Croft Rd
Poughkeepsie, NY 12603-4917

Mailing address

29 Tor Rd
Wappingers Falls, NY 12590-4624

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X101700 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1053215822

Amanda Evelyn Odendahl's National Provider Identifier is 1053215822, issued on Oct 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Poughkeepsie, NY. The record was last updated on Oct 6, 2026.