Healthcare Provider Details

I. General information

NPI: 1437080355
Provider Name (Legal Business Name): CHRISTINA ODWYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 CONNECTICUT AVE NW
WASHINGTON DC
20036-2603
US

IV. Provider business mailing address

550 MORSE ST NE APT 302
WASHINGTON DC
20002-7191
US

V. Phone/Fax

Practice location:
  • Phone: 202-953-5912
  • Fax:
Mailing address:
  • Phone: 804-549-9796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: