Provider Demographics
NPI:1053456871
Name:POMERANTZ, JILL SHORR (MSW)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:SHORR
Last Name:POMERANTZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6505 WILSHIRE BLVD FL 5
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4917
Mailing Address - Country:US
Mailing Address - Phone:323-761-8800
Mailing Address - Fax:
Practice Address - Street 1:6505 WILSHIRE BLVD FL 5
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4917
Practice Address - Country:US
Practice Address - Phone:323-761-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical