Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Adesuwa Agbonkpolo, MS, LCSW

Individual provider Clinical Social Worker · NPI 1508609850

Jessica Adesuwa Agbonkpolo, MS, LCSW is a Clinical Social Worker in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

255 N D St Ste 400
San Bernardino, CA 92401-1715
Phone: (909) 567-2808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 111363 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 111363 (CA)

Record details

NPI number1508609850
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCSW
Sole proprietorYes
NPI enumeratedJune 14, 2024
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024

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