Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KERSTIN MANDERSON SIDNEY, LCSW
Active Sole ProprietorKERSTIN MANDERSON SIDNEY, LCSW is a Mental Health Counselor healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1023377561 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1023377561
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2012 (14.100918191148 yrs)
- Last Updated
- Jan 17, 2017
- Licenses
-
ASW23055 (CA)LCS29222 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1021 FREMONT AVESOUTH LAKE TAHOE, CA, 961508136Browse CA providers · Browse ZIP 96150
- Phone
- 5305412445
- Fax
- 5305410517
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER HOWARD CROMWELL | BACHELORS OF ARTS | 1164544631 |
| NANCY L. HOLMES | PT | 1417070418 |
| MERCEDES RUIZ | — | 1184747529 |
| NICOLAS HUERTA | — | 1093838427 |
| MRS. JOAN C. WORMAN | — | 1376767871 |
| MARTA TUZNIK | — | 1376760603 |
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.