Individual provider Active NPI

Ciara Brittany Cornejo

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1437559952
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ACSW10831 Issued in CA
Practice address
3333 14TH St
Riverside, CA 92501-3858
Phone
(951) 775-6045
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X ACSW10831 CA Primary

Addresses

Primary practice location

3333 14TH St
Riverside, CA 92501-3858

Mailing address

3333 14TH St
Riverside, CA 92501-3858

Other practice location 1

1301 Pine Ave
Long Beach, CA 90813-3124
Phone (562) 595-1159

Other practice location 2

10929 South St
Suite #208B
Cerritos, CA 90703
Phone (562) 924-5526 ext. 280

Other practice location 3

2008 N Garey Ave
Pomona, CA 91767-2722
Phone (909) 623-6131 ext. 7340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACSW10831CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Mental Health Authority CurrentSince Oct 1, 2021 Accepting new patients
Creative Solutions for Kids & Families CurrentSince Dec 1, 2022 Accepting new patients
Tri-City Mental Health Center PastSince Oct 1, 2021 Accepting new patients

Locations

22445 Alessandro Blvd
Ste 113114
Moreno Valley, CA 92553
Phone (951) 900-7329

22445 Alessandro Blvd
Ste 115116
Moreno Valley, CA 92553
Phone (951) 900-7344

2008 N Garey Ave
Pomona, CA 91767
Phone (909) 242-7640

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1437559952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 14TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 14TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013858",
            "telephone_number": "951-775-6045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133124",
            "country_code": "US",
            "telephone_number": "562-595-1159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10929 South St",
            "address_2": "Suite #208B",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "90703",
            "country_code": "US",
            "telephone_number": "562-924-5526 x280",
            "fax_number": "562-924-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672722",
            "country_code": "US",
            "telephone_number": "909-623-6131 x7340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNEJO",
        "first_name": "CIARA",
        "middle_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW10831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.