Ksenija Andric, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

80148 Issued in CA

Practice address

790 E Santa Clara St Ste 102
Ventura, CA 93001-2967

Phone

(805) 407-7026

Fax

(805) 407-7026

NPI assigned

Nov 2, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ksenija Andric Norris Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1336651124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 HARBOR BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930353925",
            "telephone_number": "805-407-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E SANTA CLARA ST STE 102",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012967",
            "telephone_number": "805-407-7026",
            "fax_number": "805-407-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIC",
        "first_name": "KSENIJA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KSENIJA",
            "last_name": "NORRIS",
            "middle_name": "ANDRIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaleisa Andrade, LVN
• Natasha Marie Andrade
• Andrea M Kulberg, PHD Clinical Psychology Inc
• Andrew C. Kerr, M.D. Inc
• Brian Andrews, DPT
• Anesthesia Associates of Ventura County, Inc.
• Angel Care of Ventura, Inc.
• Angel Home Care of Ventura, Inc.
• Manuela Escandia Angel
• Bertha J Angulo

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.