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

Mr. Sean Adrian Kruckenberg, LCSW

Individual provider Clinical Social Worker · NPI 1871079665

Mr. Sean Adrian Kruckenberg, LCSW is a Clinical Social Worker in Ontario, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
4
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

2940 Inland Empire Blvd
Ontario, CA 91764-4898
Phone: (909) 808-0967
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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 LCSW121455 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 121455 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 104512 (CA)
Social Worker Taxonomy 104100000X · Licence 104512 (CA)

Record details

NPI number1871079665
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 14, 2018
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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