Healthcare Provider Details

I. General information

NPI: 1265379267
Provider Name (Legal Business Name): HANNAH ODELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 N WASHINGTON ST STE B5
BOSTON MA
02114-1913
US

IV. Provider business mailing address

488 WASHINGTON ST APT 2
BRIGHTON MA
02135-2961
US

V. Phone/Fax

Practice location:
  • Phone: 617-546-8300
  • Fax:
Mailing address:
  • Phone: 617-546-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW2120796
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: