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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KSENIA USTINOVA, ACSW

Active

KSENIA USTINOVA, ACSW is a Social Worker healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1114694338 is currently active in the NPPES registry. Verify at CMS.

Social Worker · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1114694338
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2021 (4.7871191987616 yrs)
Last Updated
Aug 7, 2024
License
118870 (CA)

Practice Information

Address
2100 ELOISE AVE
SOUTH LAKE TAHOE, CA, 961504306
Browse CA providers · Browse ZIP 96150
Phone
5305441748
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in SOUTH LAKE TAHOE, CA

Name Credential NPI
JAMIE SHEETS 1538695366
CHERYL MARIE FRAWLEY MSW 1558890699
NICOLE MARIE VANDEHURST MA 1316578701
SUSAN ARIANA TARISA BENHAM 1154065639
JENNIFER ANN FULLER 1700682341
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.