Healthcare Provider Details

I. General information

NPI: 1841124054
Provider Name (Legal Business Name): OLIVIA FISCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4228 S HOCKER DR BLDG 12
INDEPENDENCE MO
64055-4754
US

IV. Provider business mailing address

4228 S HOCKER DR BLDG 12
INDEPENDENCE MO
64055-4754
US

V. Phone/Fax

Practice location:
  • Phone: 816-381-7690
  • Fax:
Mailing address:
  • Phone: 816-381-7690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2026021026
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: