Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connie J Kersenbrock, LCSW

Organization Clinical Social Worker · NPI 1710528989

Connie J Kersenbrock, LCSW is a Clinical Social Worker in Bend, Oregon. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

300 SE Reed Market Rd Ste 110
Bend, OR 97702-2237
Phone: (620) 966-6925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1710528989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Kersenbrock — Owner · (620) 966-6925
NPI enumeratedSeptember 30, 2019
Last updated in NPPESSeptember 30, 2019
Mailing address130 Sw Canyon Dr Apt 3, Redmond, OR 97756-2054

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