MR. KOSE IKENASIO LCSW
NPI 1417352501
Social Worker - Clinical in Moreno Valley, CA

Q: What is Kose Ikenasio's NPI number?

The NPI number for Kose Ikenasio is 1417352501. It was assigned to this individual provider in the NPPES registry on October 31, 2014.

Q: What is Kose Ikenasio's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kose Ikenasio was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2014

23990 EUCALYPTUS AVE, MORENO VALLEY, CA 92553(951) 956-3123 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, Mar 17, 2017, Jan 27, 2016 (3 updates tracked since 2016).

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About Mr. Kose Ikenasio Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KOSE IKENASIO LCSW (NPI 1417352501) is an individual clinical provider in Moreno Valley, California, licensed in California (99620) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1417352501

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. KOSE IKENASIOCredential: LCSW

Location Address23990 EUCALYPTUS AVEMoreno Valley, CA 92553-5504

Mailing Address6401 Lincoln AveRiverside, CA 92506-4424 · (951) 276-7670

Phone(951) 956-3123

Sole ProprietorNo

Enumeration DateOctober 31, 2014

Last NPPES UpdateJune 1, 20263 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1417352501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 99620

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 73873 (CA)

Also ListedSocial Worker · SchoolTaxonomy 1041S0200X

23990 EUCALYPTUS AVE, Moreno Valley, CA 92553

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF RIVERSIDE

Clinic/Center (Federally Qualified Health Center (FQHC))