Individual provider Active NPI

Leana Hall-Pompilus, MSW

  • Clinical Social Worker
  • Elizabeth, NJ
National Provider Identifier
1134432180
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016663 Issued in PA
Practice address
615 N Broad St
Elizabeth, NJ 07208-3409
Phone
(908) 355-7886
Fax
(908) 894-5309
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05743100 NJ
Clinical Social Worker 1041C0700X CW016663 PA Primary

Addresses

Primary practice location

615 N Broad St
Elizabeth, NJ 07208-3409

Mailing address

615 N Broad St
Elizabeth, NJ 07208-3409
Phone (908) 355-7886

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Annandale

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05743100NJMDClinical Social Worker
CW016663PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1134432180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083409",
            "telephone_number": "908-355-7886",
            "fax_number": "908-894-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083409",
            "telephone_number": "908-355-7886",
            "fax_number": "908-894-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-POMPILUS",
        "first_name": "LEANA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05743100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Annandale",
            "affiliation": "N",
            "address_1": "615 N Broad St",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072083409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.