Search › California › 1041C0700X
Ksenia Ustinova, LCSW
NPI 1114694338 · on the registry since 2021
Practice
- Address
- 3079 Harrison Ave #12 #118
South Lake Tahoe, CA 96150 - Phone
- (530) 447-0253
Additional practice sites
- 7005 N Lake Blvd # 166, Tahoe Vista, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California