Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

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

Clinical Social Worker in South Lake Tahoe, CA · enumerated 2026 · authorized official Ksenia Ustinova, Licensed Clinical Social Worker.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821914995

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Registry record

Entity type Organization (Type 2)

Legal business name Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation

Practice address 3079 Harrison Ave 12, Unit 118, South Lake Tahoe, CA, 96150

Phone (530) 447-0253

Enumeration date Jun 24, 2026

Last updated in NPPES Jun 25, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Ksenia Ustinova

Title Licensed Clinical Social Worker

Phone (530) 447-0253

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-25. Verify at npiregistry.cms.hhs.gov.

Where is Root & Return Therapy, A Licensed Clinical Social Worker Professional Corporation located?

The practice location on file with NPPES is in South Lake Tahoe, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-25.