Kellishia T. Worsham

Case Manager/Care Coordinator · Upland, CA

Individual Active NPI

NPI number 1275918146

Practice location

222 N Mountain Ave
Upland, CA 91786
Phone
(909) 727-0398

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NPI record

NPI
1275918146
Entity type
Individual (Type 1)
Enumeration date
July 21, 2015
Last updated
June 7, 2024
Certified
June 7, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Counselor 101Y00000X — —
Case Manager/Care Coordinator 171M00000X — CA

Mailing address

141 N Arrowhead Ave
San Bernardino, CA 92408-1016
Phone
(909) 963-5355

About Kellishia Worsham

Kellishia T. Worsham is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 222 N Mountain Ave, Upland, CA 91786. The NPI number 1275918146 was assigned on July 21, 2015 and the record was last updated on June 7, 2024.

Frequently asked questions

What is the NPI number of Kellishia T. Worsham?

The NPI number is 1275918146.

What is the phone number of Kellishia Worsham?

The phone number listed for the practice location is (909) 727-0398.

Where is Kellishia Worsham located?

222 N Mountain Ave, Upland, CA 91786.

What is the taxonomy code for Kellishia Worsham?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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