OrganizationActive
Connie J Kersenbrock, Lcsw
NPI 1710528989 · Clinical Social Worker · Bend, OR
Connie J Kersenbrock, Lcsw is a Clinical Social Worker organization in Bend, OR (NPI 1710528989).
Provider details
- NPI number
- 1710528989
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Connie Kersenbrock, Owner(620) 966-6925
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Se Reed Market Rd Ste 110
Bend, OR 97702-2237
Phone: (620) 966-6925
Street-level locationGet directions
Mailing address
130 Sw Canyon Dr Apt 3
Redmond, OR 97756-2054
Registry dates
- Enumerated
- 2019-09-30
- Last updated
- 2019-09-30
Frequently asked questions
- What is Connie J Kersenbrock, Lcsw's NPI number?
- Connie J Kersenbrock, Lcsw's National Provider Identifier (NPI) is 1710528989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Connie J Kersenbrock, Lcsw?
- Connie J Kersenbrock, Lcsw is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Connie J Kersenbrock, Lcsw located?
- Connie J Kersenbrock, Lcsw's practice location on file with NPPES is 300 Se Reed Market Rd Ste 110, Bend, OR 97702-2237.
- What is Connie J Kersenbrock, Lcsw's phone number?
- The practice phone number listed in the NPPES registry for Connie J Kersenbrock, Lcsw is (620) 966-6925.
- Who is the authorized official for Connie J Kersenbrock, Lcsw?
- The authorized official listed on Connie J Kersenbrock, Lcsw's NPPES record is Connie Kersenbrock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Connie J Kersenbrock, Lcsw's NPI active?
- Yes — Connie J Kersenbrock, Lcsw's NPI (1710528989) is active in the NPPES registry as of the last update on 2019-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.