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NPI Code Detail

MEDICARE: MIMI ODUNEWU LCSW

MEDICARE: MIMI ODUNEWU LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorSW20295FL
21041C0700XClinical Social WorkerSW20295FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821719477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIMI ODUNEWU LCSW
Provider Business Mailing Address
First Line : 7501 ARMAND CIR
Second Line :
City : TAMPA
State : FL
Zip : 33634-2901
Country : US
Telephone Number : 813-402-8765
Fax Number :
Provider Business Practice Location Address
First Line : 5130 SUNFOREST DR
Second Line :
City : TAMPA
State : FL
Zip : 33634-6318
Country : US
Telephone Number : 657-400-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2022
Last Update Date : 05/11/2026

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Directions to “ MIMI ODUNEWU LCSW” Practice Location

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