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

Connie J Kersenbrock, LCSW

Individual provider Mental Health Counselor · NPI 1639279318

Connie J Kersenbrock, LCSW is a Mental Health Counselor in Bend, Oregon. Licensed in Kansas and Oregon. Registered with an NPI since 2006.

Licensed in
KS, OR
In the registry since
2006
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2330 NE Division St Ste 9B
Bend, OR 97703-3530
Phone: (541) 323-5332
Fax: (541) 323-5854
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 7405 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3576 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3576 (KS)

Record details

NPI number1639279318
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 23, 2006
Last updated in NPPESJanuary 12, 2018

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