Individual provider Active NPI

Dondra Fisher, LMSW

  • Clinical Social Worker
  • Gretna, LA
National Provider Identifier
1821533365
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6959 Issued in LA
Practice address
1400 Calder St
Gretna, LA 70053-5637
Phone
(504) 322-7710
Fax
(504) 322-7708
NPI assigned
Dec 19, 2016
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6959 LA
Clinical Social Worker 1041C0700X 6959 LA Primary
Case Manager/Care Coordinator 171M00000X 6959 LA

Addresses

Primary practice location

1400 Calder St
Gretna, LA 70053-5637

Mailing address

PO Box 2578
Gretna, LA 70054-2578
Phone (504) 371-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6959LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Extensions of Life LLC Social Worker CurrentSince Sep 6, 2024 Accepting new patients
Bryant Chiropractic Inc. PastSince Jun 25, 2023 Accepting new patients

Locations

1400 Calder St
Gretna, LA 70053
Phone (504) 322-7710

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1821533365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2578",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700542578",
            "telephone_number": "504-371-6770",
            "fax_number": "504-322-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CALDER ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535637",
            "telephone_number": "504-322-7710",
            "fax_number": "504-322-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DONDRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "6959",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6959",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "6959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.