Individual provider · Type 1 NPI

Tenicia Odusanya

Clinical Social Worker · Baltimore, MD

NPI number 1942908975 Active

Practice location

3703 Dennlyn Rd
Baltimore, MD 21215-7420

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29502 (MD)
Professional Counselor 101YP2500X29502 (MD)
Mental Health Counselor 101YM0800XNone listed
School Social Worker 1041S0200XNone listed

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 1942908975

Tenicia Odusanya's National Provider Identifier is 1942908975, issued on Feb 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Aug 7, 2026.