Active NPI
Laura Jeanette Holden Pommier, LSCSW, LCSW
- Clinical Social Worker
- Overland Park, KS
National Provider Identifier
1861650558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4028
- Practice address
- 8220 Travis St Ste 111
Overland Park, KS 66204-3965 - Phone
- (541) 619-9585
- NPI assigned
- May 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7087 | KS | |
| Clinical Social Worker | 1041C0700X | 6055 | OR | |
| Clinical Social Worker | 1041C0700X | 4028 | KS | Primary |
Addresses
Primary practice location
8220 Travis St Ste 111
Overland Park, KS 66204-3965
Mailing address
8220 Travis St Ste 111
Overland Park, KS 66204-3965
Phone (541) 619-9585
Other names 1
- Laura Jeanette Fisher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4028 | KS | MD | Clinical Social Worker |
| 7087 | KS | MD | Dentist |
| 6055 | OR | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Overland Park, KS
- NPI 1073133286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587168000000",
"number": "1861650558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 TRAVIS ST STE 111",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662043965",
"telephone_number": "541-619-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 TRAVIS ST STE 111",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662043965",
"telephone_number": "541-619-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMMIER",
"first_name": "LAURA",
"middle_name": "JEANETTE HOLDEN",
"credential": "LSCSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2020-04-18",
"certification_date": "2020-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7087",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "6055",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "FISHER",
"middle_name": "JEANETTE",
"credential": "LSCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.