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ANDREW LISTVINSKY LCSW
NPI 1669920013
Social Worker - Clinical in San Diego, CA

Active since September 14, 2016PECOS Enrolled
5252 BALBOA AVE STE 502, SAN DIEGO, CA 92117(858) 333-6856 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, Jul 24, 2024, Jul 5, 2022 and 1 more (4 updates tracked since 2016).

About Andrew Listvinsky Lcsw NPPES

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

ANDREW LISTVINSKY LCSW (NPI 1669920013) is an individual clinical provider in San Diego, California, licensed in California (LCSW114861) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669920013
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameANDREW LISTVINSKYCredential: LCSW
Location Address5252 BALBOA AVE STE 502San Diego, CA 92117-7015
Mailing Address5252 Balboa Ave Ste 502San Diego, CA 92117-7015 · (619) 324-9226
Phone(858) 333-6856
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 14, 2016
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1669920013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW114861
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.
5252 BALBOA AVE STE 502, San Diego, CA 92117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Listvinsky Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002350048
PECOS Enrollment IDI20240701002592
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SUNLIT GROVE COUNSELING, A PROFESSIONAL CORPORATION OF ANDREW
Social Worker (Clinical)
5252 BALBOA AVE STE 502
SAN DIEGO, CA 92117
San Diego County (619) 324-9226
DANIKA NICOLE PETERSON
Counselor
5252 BALBOA AVE STE 502
SAN DIEGO, CA 92117
San Diego County (858) 740-7871

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 Andrew Listvinsky's NPI number?

The NPI number for Andrew Listvinsky is 1669920013. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Andrew Listvinsky located?

Andrew Listvinsky practices at 5252 Balboa Ave Ste 502, San Diego, CA 92117. The listed phone number is (858) 333-6856.

What is Andrew Listvinsky's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Andrew Listvinsky enrolled in Medicare?

Yes. Andrew Listvinsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Listvinsky was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.