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

Andrew Listvinsky, LCSW

Individual provider Clinical Social Worker · NPI 1669920013

Andrew Listvinsky, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5252 Balboa Ave Ste 502
San Diego, CA 92117-7015
Phone: (858) 333-6856
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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 · Licence LCSW114861 (CA)

Record details

NPI number1669920013
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 14, 2016
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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