Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTH LAKE TAHOE THERAPY, LICENSED CLINICAL SOCIAL WORKER INC.
NPI 1366351066
Social Worker - Clinical in South Lake Tahoe, CA

Active since September 07, 2026
2489 LAKE TAHOE BLVD STE 24, SOUTH LAKE TAHOE, CA 96150(646) 245-6169 Get Directions Write a Review

NPPES record added: September 7, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc. NPPES

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

SOUTH LAKE TAHOE THERAPY, LICENSED CLINICAL SOCIAL WORKER INC. (NPI 1366351066), doing business as South Lake Tahoe Therapy, is a healthcare organization registered as a clinical in South Lake Tahoe, California and active in the NPI registry since September 2026. The organization lists Marta Tuznik, President, as its authorized official.

NPPES Registry Identity

NPI1366351066
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUTH LAKE TAHOE THERAPY, LICENSED CLINICAL SOCIAL WORKER INC.
Location Address2489 LAKE TAHOE BLVD STE 24South Lake Tahoe, CA 96150-7739
Mailing Address2489 Lake Tahoe Blvd Ste 24South Lake Tahoe, CA 96150-7739 · (646) 245-6169
Organization SubpartNo
Authorized OfficialMarta TuznikPresident · (646) 245-6169
Enumeration DateSeptember 7, 2026
NPPES CertifiedSeptember 7, 2026
NPI 1366351066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2489 LAKE TAHOE BLVD STE 24, South Lake Tahoe, CA 96150

Other Names 1

Doing Business AsSouth Lake Tahoe Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc.'s NPI number?

The NPI number for South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc. is 1366351066. It was assigned to this organization in the NPPES registry on September 7, 2026. The provider is doing business as South Lake Tahoe Therapy.

Where is South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc. located?

South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc. is located at 2489 Lake Tahoe Blvd Ste 24, South Lake Tahoe, CA 96150. The listed phone number is (646) 245-6169.

What is South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc.'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 South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc. was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.