Organization · Type 2 NPI

Connie J Kersenbrock, LCSW

Clinical Social Worker · Bend, OR

NPI number 1710528989 Active

Practice location

300 SE Reed Market Rd Ste 110
Bend, OR 97702-2237

Mailing address

130 SW Canyon Dr Apt 3
Redmond, OR 97756-2054

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1710528989

Connie J Kersenbrock, LCSW's National Provider Identifier is 1710528989, issued on Sep 30, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bend, OR. The record was last updated on Sep 30, 2019.