Provider Demographics
NPI:1447758859
Name:USHERENKO, VERONIKI (LCSW)
Entity Type:Individual
Prefix:
First Name:VERONIKI
Middle Name:
Last Name:USHERENKO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:VERONIKI
Other - Middle Name:
Other - Last Name:PADAVOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9666 BUSINESSPARK AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1646
Mailing Address - Country:US
Mailing Address - Phone:858-215-4996
Mailing Address - Fax:
Practice Address - Street 1:9666 BUSINESSPARK AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1646
Practice Address - Country:US
Practice Address - Phone:858-215-4996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-31
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1113841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical