Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SEAN ADRIAN KRUCKENBERG, LCSW
ActiveMR. SEAN ADRIAN KRUCKENBERG, LCSW is a Clinical Social Worker healthcare provider located in RIALTO, California. NPI 1871079665 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RIALTO, CA
Registration Details
- NPI Number
- 1871079665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2018 (8.0694760031549 yrs)
- Last Updated
- Mar 20, 2024
- Licenses
-
104512 (CA)104512 (CA)LCSW121455 (CA)
Practice Information
- Address
-
850 E FOOTHILL BLVDRIALTO, CA, 923765230Browse CA providers · Browse ZIP 92376
- Phone
- 9094219380
- Fax
- 9094219392
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in RIALTO, CA
| Name | Credential | NPI |
|---|---|---|
| MISS FABIOLA ROBLES | LCSW | 1316012677 |
| MR. CHRISTOPHER TODD HOLDER | LCSW | 1467502336 |
| SHERWIN D FARR | LCSW | 1356497705 |
| KAREN L. BANKER | LCSW | 1801932934 |
| MRS. ELIZABETH A. FRASER | LCSW | 1992842009 |
| MR. FRED LANIER SMITH SR. | — | 1508902990 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.