CONNIE J KERSENBROCK, LCSW


Address: 300 Se Reed Market Rd Ste 110, Bend, OR 97702-2237
Phone: 6209666925

CONNIE J KERSENBROCK, LCSW (NPI# 1710528989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710528989
Entity Type Organization
Organization Name CONNIE J KERSENBROCK, LCSW
Practice Address 300 Se Reed Market Rd Ste 110
Bend
OR 97702-2237
Mailing Address 130 Sw Canyon Dr Apt 3
Redmond
OR 97756-2054
Practice Telephone 6209666925
Mailing Telephone 6209666925
Enumeration Date 2019-09-30
Last Update Date 2019-09-30
Authorized Official Name CONNIE KERSENBROCK (OWNER)
Authorized Official Telephone 6209666925
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 300 SE REED MARKET RD STE 110
City BEND
State OR
Zip Code 97702-2237

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676259 Amy Michelle Anderson Counselor 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 2020-10-15
1386259463 Jacob Rehder Counselor 19717 Mt Batchelor Dr, #226, Bend, OR 97702 2020-09-15
1497385215 Capacity Performance Therapy Physical Medicine & Rehabilitation 61125 Lodgepole Dr., Bend, OR 97702 2020-01-21
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1609435049 Praxis Medical Group Inc Orthopaedic Surgery 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 2019-06-10
1013485754 Elana Leah Pesah Social Worker 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 2018-11-12
1104303239 Kyleigh Mcvey Massage Therapist 999 Sw Disk Dr, Bend, OR 97702 2018-07-21
1477042869 Siloe Castaneda Huerta Counselor 1340 Nw Wall, Bend, Or, Bend, OR 97702 2018-05-02
1164910808 Rebecca M Joyce Social Worker 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 2018-04-27
1093217978 Jennifer Bury Acupuncturist 296 Sw Columbia St Ste D1, Bend, OR 97702 2018-03-06
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356942015 Cynthia Stidd, Lcsw, LLC Social Worker 60831 Windsor Dr, Bend, OR 97702-9502 2020-11-07
1790384238 Amy R Duryea Lcsw LLC Social Worker 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 2020-10-24
1780295287 Elizabeth Blackwood Social Worker 1005 Sw Disk Dr Ste 104, Bend, OR 97702-3385 2020-08-10
1396355889 Xela Goodman Social Worker 2225 Ne Indigo Ln, Bend, OR 97701-6731 2020-08-09
1457975872 Noonday Counseling and Wellness Social Worker 750 Charbonneau Ste 207, Bend, OR 97703-7047 2020-06-01
1083254676 Nourish Lactation Social Worker 19334 Mohawk Rd, Bend, OR 97702-8908 2020-01-10
1982245734 Hannah Wadsworth Social Worker 1900 Ne Division St Ste 108, Bend, OR 97701-3526 2019-10-02
1265085625 Rachel L Frank LLC Social Worker 20766 Ne Sierra Dr, Bend, OR 97701-7174 2019-07-24
1366008856 Sarah Elizabeth Peterson Social Worker 19795 Village Office Ct, Bend, OR 97702-1922 2019-05-10
1750853453 Adam Klaybor Social Worker 19820 Village Office Ct Ste 301, Bend, OR 97702-2950 2018-12-19
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Competitor

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City BEND
Zip Code 97702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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