Elizabeth Pomeroy Champ

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074936-1 Issued in NY

Practice address

315 W 57TH St
Suite 306
New York, NY 10019-3158

Phone

(212) 765-4341

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Postgraduate Center for Mental Health

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1629127725
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437184397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST",
            "address_2": "SUITE 306",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193158",
            "telephone_number": "212-765-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST",
            "address_2": "SUITE 306",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193158",
            "telephone_number": "212-765-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMP",
        "first_name": "ELIZABETH",
        "middle_name": "POMEROY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074936-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bidhya Chamlagai, DNP, FNP-BC
• Michele Bussy Chammah, DDS
• Charissa Chamorro, PH.D.
• Hilda R Chamorro
• Jenny Chamoun, PT
• Michaela Champagne
• Emma Champeau
• Kelly Champlin
• Lena Clarice Champlin, NP-C
• Emma Champness, CASAC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.