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

ROOT & RETURN THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
NPI 1821914995
Social Worker - Clinical in South Lake Tahoe, CA

Active since June 24, 2026
3079 HARRISON AVE 12, UNIT 118, SOUTH LAKE TAHOE, CA 96150(530) 447-0253 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation NPPES

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

ROOT & RETURN THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION (NPI 1821914995) is a healthcare organization registered as a clinical in South Lake Tahoe, California and active in the NPI registry since June 2026. The organization lists Ksenia Ustinova, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1821914995
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameROOT & RETURN THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Location Address3079 HARRISON AVE 12, UNIT 118South Lake Tahoe, CA 96150
Mailing AddressPo Box 9683South Lake Tahoe, CA 96158-2683
Organization SubpartNo
Authorized OfficialKsenia UstinovaLicensed Clinical Social Worker · (530) 447-0253
Enumeration DateJune 24, 2026
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1821914995 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.
3079 HARRISON AVE 12, South Lake Tahoe, CA 96150

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 Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation's NPI number?

The NPI number for Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation is 1821914995. It was assigned to this organization in the NPPES registry on June 24, 2026.

Where is Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation located?

Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation is located at 3079 Harrison Ave 12 Unit 118, South Lake Tahoe, CA 96150. The listed phone number is (530) 447-0253.

What is Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation'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 Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation 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 56 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.