Individual provider · Type 1 NPI

Konner Mackenzie Belling

Clinical Social Worker · San Dimas, CA

NPI number 1710642798 Active

Practice location

180 E. Via Verde Ave., Suite 200
San Dimas, CA 91773-3505

Other practice locations

  • 4590 Allstate Dr, Riverside, CA 92501-1702 · (909) 599-1227

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X109893 (CA)
Clinical Social Worker Primary 1041C0700X139614 (CA)

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 1710642798

Konner Mackenzie Belling's National Provider Identifier is 1710642798, issued on Nov 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Dimas, CA. The record was last updated on Aug 13, 2026.