Ksenia Ustinova, LCSW
NPI 1114694338 · Clinical Social Worker · Tahoe Vista, CA
Ksenia Ustinova, LCSW is a Clinical Social Worker provider in Tahoe Vista, CA (NPI 1114694338).
Provider details
- NPI number
- 1114694338
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 138685 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Ksenia Ustinova's NPI number?
- Ksenia Ustinova's National Provider Identifier (NPI) is 1114694338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ksenia Ustinova's specialty?
- Ksenia Ustinova is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ksenia Ustinova located?
- Ksenia Ustinova's practice location on file with NPPES is 7005 N Lake Blvd # 166, Tahoe Vista, CA 96148-9800.
- What is Ksenia Ustinova's phone number?
- The practice phone number listed in the NPPES registry for Ksenia Ustinova is (530) 447-0253.
- Is Ksenia Ustinova's NPI active?
- Yes — Ksenia Ustinova's NPI (1114694338) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.