KSENIA USTINOVA LCSW
NPI 1114694338
Social Worker - Clinical in South Lake Tahoe, CA
About Ksenia Ustinova Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KSENIA USTINOVA LCSW (NPI 1114694338) is an individual clinical provider in South Lake Tahoe, California, licensed in California (138685) and active in the NPI registry since August 2021. She maintains a secondary practice location in Tahoe Vista.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Ksenia Ustinova's NPI number?
The NPI number for Ksenia Ustinova is 1114694338. It was assigned to this individual provider in the NPPES registry on August 25, 2021.
Where is Ksenia Ustinova located?
Ksenia Ustinova practices at 3079 Harrison Ave #12 #118, South Lake Tahoe, CA 96150. The listed phone number is (530) 447-0253.
What is Ksenia Ustinova's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Ksenia Ustinova was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.