CLANCEY JO CORNELL (NPI# 1568076974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568076974 |
| Entity Type | Individual |
| Full Name | CLANCEY JO CORNELL |
| Practice Address |
923 S Catalina Ave Unit B Redondo Beach CA 90277-4718 |
| Mailing Address |
3627 Hillcrest Dr Los Angeles CA 90016-5701 |
| Practice Telephone | 3109802411 |
| Mailing Telephone | 3109802411 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
923 S CATALINA AVE UNIT B |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578819389 | Sun Kyung Lee | Social Worker | 901 N Pacific Coast Hwy Ste 200a204a, Redondo Beach, CA 90277-2162 | 2012-07-30 |
| 1649311234 | Katarena Lorraine Harris | Social Worker | 901 N Pacific Coast Hwy Ste 200, Redondo Beach, CA 90277-2162 | 2007-02-08 |
| 1487757936 | Paula M Van Doren | Social Worker | 205 Ave I, Suite #11, Redondo Beach, CA 90277 | 2006-09-07 |
| 1366808446 | Shawnea Harris | Social Worker | 901 N Pacific Coast Hwy Ste 200a, Redondo Beach, CA 90277-7702 | 2016-01-05 |
| 1669841417 | Lizabeth Ramirez-lozover | Social Worker | 901 N Pacific Coast Hwy, Redondo Beach, CA 90277-2162 | 2015-09-23 |
| 1225414634 | Samira Mohmand | Social Worker | 501 Esplanade, Redondo Beach, CA 90277 | 2015-08-07 |
| 1396151593 | Rizi Xavier Timane | Social Worker | 901 N Pacific Coast Hwy, Suite 200a, Redondo Beach, CA 90277-2162 | 2014-07-08 |
| 1265869200 | Elizabeth Emily Eccleston | Social Worker | 901 N Pacific Coast Hwy, Suite 200a, Redondo Beach, CA 90277-2162 | 2013-10-04 |
| 1598108375 | Tina Mardirossian | Social Worker | 901 N Pacific Coast Hwy, Suite 200a-204a, Redondo Beach, CA 90277-2162 | 2013-04-11 |
| 1003154857 | Janine Almandos | Social Worker | 901 N Pacific Coast Hwy, Ste 200a, Redondo Beach, CA 90277-2162 | 2013-01-29 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.