Provider Demographics
NPI:1295384782
Name:FIERRO, ARLYNNA RAE (LCSW)
Entity type:Individual
Prefix:
First Name:ARLYNNA
Middle Name:RAE
Last Name:FIERRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 N LARK ELLEN AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-3134
Mailing Address - Country:US
Mailing Address - Phone:951-974-4500
Mailing Address - Fax:
Practice Address - Street 1:4555 N LARK ELLEN AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-3134
Practice Address - Country:US
Practice Address - Phone:951-974-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96267104100000X
CAASW962671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker