Jessica Amber Alle-Corliss, LCSW
Social Worker, Clinical in Pomona, CA. Individual provider (NPI-1).
NPI number1992368476
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1992368476
- Entity type
- Individual (NPI-1)
- Name
- Jessica Amber Alle-Corliss
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2019
- Last updated
- Oct 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW91418 | CA | Yes |
Practice location
790 E Bonita AvePomona, CA 91767-1906
Phone 909-625-7207 · Fax 626-844-0481
Mailing address
790 E Bonita AvePomona, CA 91767-1906
Phone 909-625-7207 · Fax 626-844-0481
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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