JESSICA AMBER ALLE-CORLISS (NPI# 1992368476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992368476 |
| Entity Type | Individual |
| Full Name | JESSICA AMBER ALLE-CORLISS |
| Credential | LCSW |
| Practice Address |
790 E Bonita Ave Pomona CA 91767-1906 |
| Practice Telephone | 9096257207 |
| Practice Fax Number | 6268440481 |
| Mailing Telephone | 9096257207 |
| Mailing Fax Number | 6268440481 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW91418 | CA | Behavioral Health & Social Service Providers |
| Street Address |
790 E BONITA AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558335752 | Sarvotham K Reddy Md Inc | Colon & Rectal Surgery | 790 E Bonita Ave, # 230, Pomona, CA 91767 | 2006-02-14 |
| 1366060626 | Andrea Carbajal Flores | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-13 |
| 1033737184 | Pedro Garcia Bengochea | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-06 |
| 1255956314 | Gracie Ellen Jackson | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-06-14 |
| 1417582115 | Jazminne Robles | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-03-03 |
| 1306480173 | Claire Skomsvold | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-11-04 |
| 1841849148 | Elena Noemi Becerra | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-09-09 |
| 1265099428 | Ruby Martinez | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-05-23 |
| 1952868267 | Jonathan A Centeno | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-02-22 |
| 1558826321 | Claudia Lisbet Garcia | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871057448 | Rivkah Reichler | Social Worker | 35 Tara Dr, Pomona, NY 10970-3208 | 2019-01-28 |
| 1164930038 | Floricel Todorovitch | Social Worker | 101 W Mission Blvd # 110-252, Pomona, CA 91766-1711 | 2018-01-13 |
| 1447651310 | Landon Derrick Hallbrooks | Social Worker | 435 W Mission Blvd Ste 301, Pomona, CA 91766-1632 | 2014-09-10 |
| 1619221272 | Julie Burrascano | Social Worker | 286 Country Club Ln, Pomona, NY 10970-2522 | 2012-11-05 |
| 1285987271 | Monique Dominguez | Social Worker | 801 Corporate Center Dr Ste 200, Pomona, CA 91768-2640 | 2012-10-16 |
| 1619121183 | Aymee Perez-sanchez | Social Worker | 24 Lillian St, Pomona, NY 10970-2628 | 2008-11-11 |
| 1578736922 | Michelle C. Kaplowitz | Social Worker | 8 Village Loop Rd, Suite D, Pomona, CA 91766-4870 | 2008-04-07 |
| 1699896092 | Krister Willgren | Social Worker | 1 Ladentown Rd, Pomona, NY 10970-2728 | 2007-04-03 |
| 1235261876 | Eric C Murillo Angelo | Social Worker | 185 E Jefferson Ave, Pomona, CA 91767-3815 | 2007-03-09 |
| 1578694592 | Polly Condit | Social Worker | 27 Dogwood Ln, Pomona, NY 10970-3315 | 2007-03-08 |
| Find all providers in POMONA | ||||
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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.