Holly Elise Pomme, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L-6179 Issued in OR

Practice address

613 N 1St Ave
Stayton, OR 97383-1704

Phone

(541) 704-7511

Fax

(503) 386-2677

NPI assigned

Jun 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gathered & Wise LLC

  • Community/Behavioral Health Agency
  • Stayton, OR
  • NPI 1669830865
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1497958078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N 1ST AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "541-704-7511",
            "fax_number": "503-386-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N 1ST AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "541-704-7511",
            "fax_number": "503-386-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMME",
        "first_name": "HOLLY",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2021-08-23",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L-6179",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497958078",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669830865",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollypomme@gatheredandwise.com",
            "affiliation": "N",
            "address_1": "613 N 1st Ave",
            "city": "Stayton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973831704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul J. Neumann, MD, PC
• Jovana Pazin, DPT, PT
• Physical Therapy Northwest Limited Partnership
• Everett Plocek, DPT
• Ruben Pollak, D.P.M.
• Kelsey Marie Porter, PA-C
• Racheal Prisco, PSS,CRM
• Promotion Advanced Functional Rehab LLC
• Tiffanie Ann Pye, PHARMD, BCPS
• Brenda L Ramirez

• Clinical Social Worker in Stayton, OR
• Providers in Stayton, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.