Individual provider · Type 1 NPI

Kose Ikenasio, LCSW

Clinical Social Worker · Moreno Valley, CA

NPI number 1417352501 Active

Practice location

23990 Eucalyptus Ave
Moreno Valley, CA 92553-5504

Call (951) 956-3123 Map

Mailing address

6401 Lincoln Ave
Riverside, CA 92506-4424

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X99620 (CA)
Mental Health Counselor 101YM0800X73873 (CA)
School Social Worker 1041S0200XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1417352501

Kose Ikenasio, LCSW's National Provider Identifier is 1417352501, issued on Oct 31, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moreno Valley, CA. The record was last updated on Jun 1, 2026.