Healthcare Provider Details

I. General information

NPI: 1821919952
Provider Name (Legal Business Name): STACY POMMER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 VERMONT AVE NW
WASHINGTON DC
20420-0002
US

IV. Provider business mailing address

851 N GLEBE RD APT 1609
ARLINGTON VA
22203-4159
US

V. Phone/Fax

Practice location:
  • Phone: 703-304-6346
  • Fax:
Mailing address:
  • Phone: 703-304-6346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number076166
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: