Individual provider · Type 1 NPI

Lynne Michelle Dacosta, L.C.S.W.

Clinical Social Worker · Banning, CA

NPI number 1629150628 Active

Practice location

1627 S Hargrave St
Banning, CA 92220-6169

Call (951) 922-7840 Map

Fax (951) 922-7752

Mailing address

2085 Rustin Ave Ste 1
Riverside, CA 92507-2498

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21205 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1629150628

Lynne Michelle Dacosta, L.C.S.W.'s National Provider Identifier is 1629150628, issued on Oct 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Banning, CA. The record was last updated on Apr 14, 2021.