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Individual

MR. BARRY POMERANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
34 LINCOLN ST, NEWTON HIGHLANDS, MA 02461-1507
(617) 964-1060
(617) 630-0381
Mailing address
15 OAK TER, NEWTON, MA 02461-1409
(617) 964-6497

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
951
MA
1041C0700X
Clinical Social Worker
100974
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01087
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/29/2006
Last updated
09/11/2025
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