Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc

Organization Clinical Social Worker · NPI 1366351066

South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc provides Clinical Social Worker services in South Lake Tahoe, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2489 Lake Tahoe Blvd Ste 24
South Lake Tahoe, CA 96150-7739
Phone: (646) 245-6169
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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 number1366351066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marta Tuznik — President · (646) 245-6169
Other names South Lake Tahoe Therapy
NPI enumeratedSeptember 7, 2026
Last updated in NPPESSeptember 7, 2026
Certification dateSeptember 7, 2026
Mailing address2489 Lake Tahoe Blvd Ste 24, South Lake Tahoe, CA 96150-7739

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