Provider Demographics
NPI:1134432180
Name:HALL-POMPILUS, LEANA (MSW)
Entity type:Individual
Prefix:
First Name:LEANA
Middle Name:
Last Name:HALL-POMPILUS
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 1:615 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3409
Mailing Address - Country:US
Mailing Address - Phone:908-355-7886
Mailing Address - Fax:908-894-5309
Practice Address - Street 1:615 N BROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3409
Practice Address - Country:US
Practice Address - Phone:908-355-7886
Practice Address - Fax:908-894-5309
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057431001041C0700X
PACW0166631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical