Individual provider Active NPI

Brooke Pomerantz, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1700072121
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS24059 Issued in CA
Practice address
315 Montgomery St FL 10
San Francisco, CA 94104-1823
Phone
(415) 832-0767
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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 LCS24059 CA Primary

Addresses

Primary practice location

315 Montgomery St FL 10
San Francisco, CA 94104-1823

Mailing address

315 Montgomery St FL 10
San Francisco, CA 94104-1823
Phone (415) 832-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS24059CAMDClinical Social Worker
24059CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1700072121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MONTGOMERY ST FL 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041823",
            "telephone_number": "415-832-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MONTGOMERY ST FL 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041823",
            "telephone_number": "415-832-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "BROOKE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.