TERRI LYNNE KISSELOVICH LCSW
NPI 1841386885
Social Worker - Clinical in La Mesa, CA

Active since October 05, 2006PECOS Enrolled
8881 FLETCHER PKWY STE 350-360, LA MESA, CA 91942(858) 279-1223 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 16, 2024, Apr 22, 2024, Apr 12, 2023 and 1 more (4 updates tracked since 2022).

About Terri Lynne Kisselovich Lcsw NPPES

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

TERRI LYNNE KISSELOVICH LCSW (NPI 1841386885) is an individual clinical provider in La Mesa, California, licensed in California (27673) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1841386885
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERRI LYNNE KISSELOVICHCredential: LCSW
Location Address8881 FLETCHER PKWY STE 350-360La Mesa, CA 91942-3134
Mailing Address8881 Fletcher Pkwy Ste 350-360La Mesa, CA 91942-3134
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1841386885 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 · 27673
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.

8881 FLETCHER PKWY STE 350-360, La Mesa, CA 91942

Secondary Practice Location 1

Location 11250 Morena BlvdSan Diego, CA 92110-3815 · Phone (619) 692-8750 · Fax (619) 275-7343

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Terri Lynne Kisselovich Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91942 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 6

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

Social Worker (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
Marriage & Family Therapist
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
Social Worker (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
Social Worker (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
Psychologist (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
Psychologist (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841386885, enumerated as an "individual" on October 05, 2006.

The provider is located at 8881 FLETCHER PKWY STE 350-360 LA MESA, CA 91942 and the phone number is (858) 279-1223.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.