Provider Demographics
NPI:1437199627
Name:POMEROY, PATRICIA ANN (LISW-CP, ACSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:POMEROY
Suffix:
Gender:F
Credentials:LISW-CP, ACSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9150
Mailing Address - Country:US
Mailing Address - Phone:843-572-0071
Mailing Address - Fax:843-572-8135
Practice Address - Street 1:9229 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 2B
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9150
Practice Address - Country:US
Practice Address - Phone:843-572-0071
Practice Address - Fax:843-572-8135
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR048926-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical