Kenneth A Terbrack, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801078591 Issued in MI

Practice address

1325 E Cooley Dr
Readjustment Counseling, San Bernardino Vet Center
Colton, CA 92324-3947

Phone

(909) 801-5762

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1649287285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 TURNING BEND DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113235",
            "telephone_number": "909-801-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E COOLEY DR",
            "address_2": "READJUSTMENT COUNSELING, SAN BERNARDINO VET CENTER",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243947",
            "telephone_number": "909-801-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERBRACK",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Telesco, PA-C
• Adan Einer Tello, MFT ASSOCIATE
• Alexis Tello, PA-C, MPH
• Danny Teng, RN
• Michael Tennies
• Summer Terrell
• Daniel Terry
• Richard Normand Tetreault, M.P.T.
• Swati Thacker, MD
• Nhat Tan Hoang Than, D.O.

• Clinical Social Worker in Colton, CA
• Providers in Colton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.