Individual provider Active NPI

Patricia Ann Pomeroy, LISW-CP, ACSW, BCD

  • Clinical Social Worker
  • North Charleston, SC
National Provider Identifier
1437199627
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048926-1 Issued in NY
Practice address
9229 University Blvd
Suite 2B
North Charleston, SC 29406-9150
Phone
(843) 572-0071
Fax
(843) 572-8135
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R048926-1 NY Primary

Addresses

Primary practice location

9229 University Blvd
Suite 2B
North Charleston, SC 29406-9150

Mailing address

9229 University Blvd
Suite 2B
North Charleston, SC 29406-9150
Phone (843) 572-0071

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
R048926-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1437199627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 UNIVERSITY BLVD",
            "address_2": "SUITE 2B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069150",
            "telephone_number": "843-572-0071",
            "fax_number": "843-572-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 UNIVERSITY BLVD",
            "address_2": "SUITE 2B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069150",
            "telephone_number": "843-572-0071",
            "fax_number": "843-572-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LISW-CP, ACSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048926-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.