Individual provider · Type 1 NPI

Ifeoma Odor, LICSW

Clinical Social Worker · New Brighton, MN

NPI number 1063237592 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Call (651) 628-9566 Map

Fax (651) 628-0411

Mailing address

8100 Emerson Ave S
Bloomington, MN 55420-1051

Other practice locations

  • 1206 42nd Ave N, Minneapolis, MN 55412-1611 · (952) 486-1449

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27933 (MN)

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 1063237592

Ifeoma Odor, LICSW's National Provider Identifier is 1063237592, issued on Nov 19, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Brighton, MN. The record was last updated on Jul 14, 2025.