Odessa Mavis Thomas Hancock, LCSW
NPI 1376826719ActiveIndividual· Social Worker, Clinical· Marana, AZ
Social Worker, Clinical (LCSW) in Marana, Arizona, licensed in AZ and NC, with an NPI issued in September 2011. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1376826719 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Sep 22, 2011 |
| Last updated in NPPES | Jun 26, 2024 |
| Certified by provider | Jun 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-22353 | AZ |
| Social Worker | 104100000X | P005543 | NC |
| Social Worker | 104100000X | P015881 | NC |
| Social Worker | 104100000X | LMSW-19637 | AZ |
| Social Worker, School | 1041S0200X | 1217085 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LCAS-15573 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AZ) |
|---|
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