Individual provider · Type 1 NPI

Vivica Roth Odell, LCSW

Clinical Social Worker · Wheaton, IL

NPI number 1649728148 Active

Practice location

1616 E Roosevelt Rd Ste 8
Wheaton, IL 60187-6850

Call (630) 588-1201 Map

Mailing address

608 Parkway Dr
Wheaton, IL 60187-3621

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.017502 (IL)

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 1649728148

Vivica Roth Odell, LCSW's National Provider Identifier is 1649728148, issued on Sep 14, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wheaton, IL. The record was last updated on Nov 29, 2025.