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DEISY CORNEJO BSW, MSW, ASW
NPI 1598288342
Counselor in Eureka, CA

Active since July 24, 2017

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 28, 2018, Jul 10, 2018 and 1 more (4 updates tracked since 2017).

About Deisy Cornejo Bsw, Msw, Asw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEISY CORNEJO BSW, MSW, ASW (NPI 1598288342) is an individual counselor in Eureka, California, licensed in California (82931) and active in the NPI registry since July 2017. She maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1598288342
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDEISY CORNEJOCredential: BSW, MSW, ASW
Location Address720 WOOD STEureka, CA 95501
Mailing Address720 Wood StEureka, CA 95501-4413 · (707) 268-2990
Phone(707) 268-2990
Sole ProprietorNo
Enumeration DateJuly 24, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1598288342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · 82931
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
720 WOOD ST, Eureka, CA 95501
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Secondary Practice Location 1

Location 1929 Koster StEureka, CA 95501-0106 · Phone (707) 269-4179

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ASHLEY DAWN KINMAN
Case Manager/Care Coordinator
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
JACQUELYN WHITE
Counselor (Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
SHAWNA RECKINGER RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ALLISON JUDY PHILLIPS RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
AIMEE LEEANNE WOODS LVN
Licensed Vocational Nurse
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ERIC CARL VEDBORG LMFT
Marriage & Family Therapist
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2935
MS. LESLIE ANN PETERSEN
Registered Nurse
720 WOOD ST, HUMBOLDT COUNTY MENTAL HEALTH
EUREKA, CA 95501
Humboldt County (707) 445-7710
BARBARA MARY FRANKLIN RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 445-7710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deisy Cornejo's NPI number?

The NPI number for Deisy Cornejo is 1598288342. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Deisy Cornejo located?

Deisy Cornejo practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2990.

What is Deisy Cornejo's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Deisy Cornejo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.