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

Mr. Kose Ikenasio, LCSW

Individual provider Clinical Social Worker · NPI 1417352501

Mr. Kose Ikenasio, LCSW is a Clinical Social Worker in Moreno Valley, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

23990 Eucalyptus Ave
Moreno Valley, CA 92553-5504
Phone: (951) 956-3123
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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 · Licence 99620 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 73873 (CA)
School Social Worker Taxonomy 1041S0200X

Record details

NPI number1417352501
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 31, 2014
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

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