Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clancey Jo Cornell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568076974

Clancey Jo Cornell is a Student in an Organized Health Care Education/Training Program in Redondo Beach, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

923 S Catalina Ave Unit B
Redondo Beach, CA 90277-4718
Phone: (310) 980-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568076974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022
Mailing address10736 Jefferson Blvd # 174, Culver City, CA 90230-4933

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