Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Root & Return Therapy, a Licensed Clinical Social Worker Professional Corporation

Organization Clinical Social Worker · NPI 1821914995

Root & Return Therapy, a Licensed Clinical Social Worker Professional Corporation is a Clinical Social Worker in South Lake Tahoe, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3079 Harrison Ave 12 Unit 118
South Lake Tahoe, CA 96150
Phone: (530) 447-0253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1821914995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ksenia Ustinova — Licensed Clinical Social Worker · (530) 447-0253
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing addressPo Box 9683, South Lake Tahoe, CA 96158-2683

Other providers in South Lake Tahoe