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

Kelly Ann Jimenez

Individual provider Clinical Social Worker · NPI 1003567553

Kelly Ann Jimenez is a Clinical Social Worker in Fontana, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

14677 Merrill Ave
Fontana, CA 92335-4219
Phone: (951) 643-2340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 123831 (CA)

Record details

NPI number1003567553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2022
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address14677 Merrill Ave, Fontana, CA 92335-4219

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