DR. LINDA D ODANIEL (NPI# 1851999080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851999080 |
| Entity Type | Individual |
| Full Name | DR. LINDA D ODANIEL |
| Credential | PHD |
| Practice Address |
12904 Division St Apt 2a Blue Island IL 60406-3420 |
| Practice Telephone | 7732366511 |
| Mailing Telephone | 7732366511 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | IL | Other Service Providers | |
| N | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609865013 | Linda R Odaniel | Nurse Practitioner | 2701 Chamberlain Ln, Louisville, KY 40245-1603 | 2005-10-18 |
| Street Address |
12904 DIVISION ST APT 2A |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353551 | Exceptional Case Management LLC | Community/Behavioral Health | 12904 Division St Apt 2a, Blue Island, IL 60406-3420 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1396302881 | Carolyn Barnes | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-05-21 |
| 1003473505 | Belinda Childs | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-05-21 |
| 1831756329 | James Branch | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2019-05-21 |
| 1760848485 | Carrianne Connors | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2016-01-11 |
| 1669860243 | Cynthia Grady | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-01-05 |
| 1295123891 | Heather Turnelius | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-01-05 |
| 1992193593 | Lovelle Porter | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-01-05 |
| 1942698527 | Karla Garner | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-01-05 |
| 1649668245 | Alma Wingard | Case Manager/Care Coordinator | 13136 Western Ave, Blue Island, IL 60406-2423 | 2015-01-05 |
| Find all providers in BLUE ISLAND | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
Please comment or provide details below to improve the information on DR. LINDA D ODANIEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.