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KERSTIN MANDERSON SIDNEY LCSW
NPI 1023377561
Counselor - Mental Health in South Lake Tahoe, CA

Active since May 03, 2012
1021 FREMONT AVE, SOUTH LAKE TAHOE, CA 96150(530) 541-2445(530) 541-0517 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kerstin Manderson Sidney Lcsw NPPES

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

KERSTIN MANDERSON SIDNEY LCSW (NPI 1023377561) is an individual mental health provider in South Lake Tahoe, California, licensed in California (LCS29222) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1023377561
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKERSTIN MANDERSON SIDNEYCredential: LCSW
Location Address1021 FREMONT AVESouth Lake Tahoe, CA 96150-8136
Mailing AddressPo Box 13633South Lake Tahoe, CA 96151-3633 · (949) 302-8303
Phone(530) 541-2445
Fax(530) 541-0517
Sole ProprietorYes
Enumeration DateMay 3, 2012
Last NPPES UpdateJanuary 17, 2017
✔ NPI 1023377561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · LCS29222✔ Licensed in CA · ASW23055
1021 FREMONT AVE, South Lake Tahoe, CA 96150
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Other Names 1

Former Name (1)Kerstin Nicole Manderson-sidney Lcsw

Other Providers at the Same Location NPPES 10

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

CYNTHIA MARIE SWALM CADC-II A3620592
Counselor (Addiction (Substance Use Disorder))
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-2445
TAHOE YOUTH & FAMILY SERVICES
Community/Behavioral Health
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-2445
ANNETTA JEAN HAYWARD
Counselor
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-2445
ASHLEE FRANCIS
Counselor (Mental Health)
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-2445
MS. LAURA ROSARIO SALINAS
Counselor
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-2445
NICOLE CHARNEY
Counselor (Professional)
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-2445
MARIA ANGIE FLORES
Counselor
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-2445
CATHY MARIE ANGI MFT
Marriage & Family Therapist
1021 FREMONT AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 919-8144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerstin Sidney's NPI number?

The NPI number for Kerstin Sidney is 1023377561. It was assigned to this individual provider in the NPPES registry on May 3, 2012. The provider is also known as Kerstin Nicole Manderson-Sidney Lcsw.

Where is Kerstin Sidney located?

Kerstin Sidney practices at 1021 Fremont Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-2445.

What is Kerstin Sidney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kerstin Sidney was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.