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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNYANNA JEFFERSON

Active Sole Proprietor

KENNYANNA JEFFERSON is a Clinical Social Worker healthcare provider located in FONTANA, California. NPI 1114540598 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FONTANA, CA

Registration Details

NPI Number
1114540598
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2020 (6.2295482087991 yrs)
Last Updated
Dec 27, 2024
Licenses
102016 (CA)
ASW102016 (CA)
127688 (CA)
Sole Proprietor
Yes

Practice Information

Address
17053 FOOTHILL BLVD
FONTANA, CA, 923353574
Browse CA providers · Browse ZIP 92335
Phone
9093471300
Fax
9093471302
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FONTANA, CA

Name Credential NPI
MR. RANDALL M ALLE-CORLISS LCSW 1457404188
DR. ROGER DELGADO PH.D 1407997497
MS. MONICA VICTORIA PULIDO MSW 1033249842
PAUL TERRAZAS 1326172966
MS. RACHEL MICHELLE ESTRADA LCSW 1073630687
PAULINA LAGUNA LCSW 1689888216
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.