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

Cory Raymond Sullivan, ASW

Individual provider Mental Health Counselor · NPI 1275069577

Cory Raymond Sullivan, ASW is a Mental Health Counselor in Pomona, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

2008 N Garey Ave
Pomona, CA 91767-2722
Phone: (909) 623-6131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1149 S Hill St, Los Angeles, CA 90015-2212 — (213) 821-5977

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 113818 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW84456 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1275069577
Entity typeIndividual (Type 1)
GenderMale
Credentials ASW
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESJuly 5, 2023
Certification dateJune 22, 2023

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