Michael Ometer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW.09928046 Issued in CO

Practice address

6541 Specker Ave BLDG 1830
Fort Carson, CO 80913-4263

Phone

(719) 526-7661

NPI assigned

Sep 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1609358522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 SPECKER AVE BLDG 1830",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134263",
            "telephone_number": "719-526-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 SPECKER AVE BLDG 1830",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134263",
            "telephone_number": "719-526-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMETER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LCSW.09928046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan A Olin, M.D.
• Matthew J.C. Oliver, DDS
• Kylie Michelle Olson, PT, DPT
• Tyler Olson, PT, DPT
• Cathy Ann Oly, PA-C
• Diana Marie Orem, PH.D.
• Laura Orlando, MD
• Gabriela Alexandra Ortegon
• Ashley Osterhout, LCSW
• Monika Claire Overend, PTA

• Clinical Social Worker in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.