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

Coleman Marin Kassenbrock

Individual provider Clinical Social Worker · NPI 1508687344

Coleman Marin Kassenbrock is a Clinical Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

995 Gateway Center Way Ste 300
San Diego, CA 92102-4550
Phone: (619) 398-2156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW126128 (CA)

Record details

NPI number1508687344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

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