Individual provider · Type 1 NPI

Randall M. Alle-Corliss, LCSW

Clinical Social Worker · Fontana, CA

NPI number 1457404188 Active

Practice location

9310 Sierra Ave
Fontana, CA 92335-5711

Fax (909) 427-3750

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 9646 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1457404188

Randall M. Alle-Corliss, LCSW's National Provider Identifier is 1457404188, issued on Jan 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fontana, CA. The record was last updated on Jul 8, 2007.