Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487480141 Individual Practitioner Female Practitioner

Nicole Pondrom , LMSW

Social Worker • O Fallon, MO

Professional Overview & Biography Verified Profile Summary

Nicole Pondrom, LMSW is a registered healthcare professional specializing in Social Worker in O Fallon, MO. Practice services are available at 105 CHURCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Church St

O Fallon, MO 633662894

Telephone 6362945787
Fax 6362945788
Associated Practice Facility / Clinic
🏢 Side By Side Wellness Llc Facility NPI 1386112035

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in O Fallon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
3 Specialists

Practicing in O Fallon, MO (1936 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-12
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MO 2023039467

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Clare Bishop , LCSW

Social Worker - Clinical

NPI 1114753886

Licensed Clinical Social Worker

Heather St. Peter , LCSW

Social Worker - Clinical

NPI 1306378765

Licensed Clinical Social Worker

Alyson Miller , LCSW

Social Worker - Clinical

NPI 1417783184

Licensed Clinical Social Worker

Katie Kessler , LCSW

Social Worker - Clinical

NPI 1508306622

Licensed Clinical Social Worker

Drew Adams , PLPC

Counselor - Professional

NPI 1588594550
Cynthia Scanlon , LCSW

Social Worker - Clinical

NPI 1659965986

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 12, 2026

Registered at 105 CHURCH ST, O FALLON, MO 633662894 (Tel: 6362945787)

📍
Updated Business Mailing Address March 12, 2026

Registered at 105 CHURCH ST, O FALLON, MO 633662894 (Tel: 6362945787)

👤
Provider Name / Credentials Updated March 12, 2026

Recorded as NICOLE PONDROM, LMSW

NPI Profile Active September 10, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2024

Registered at 1100 ROCK CRK ELEM SCHL DR, O FALLON, MO 633667577 (Tel: 6362945787)

📍
Updated Business Mailing Address September 10, 2024

Registered at 1100 ROCK CRK ELEM SCHL DR, O FALLON, MO 633667577 (Tel: 6362945787)

👤
Provider Name / Credentials Updated September 10, 2024

Recorded as NICOLE PONDROM, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Social Worker (License #2023039467 in MO)

🟢
Initial NPI Registration & Enumeration September 10, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487480141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2024
Last Update: March 12, 2026
Sole Proprietor: No

Mailing Address

105 Church St

O Fallon, MO 633662894

Phone: 6362945787

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.