Individual provider · Type 1 NPI

Melissa Polanco, MSW, LSWAIC

Clinical Social Worker · Truckee, CA

NPI number 1861086076 Active

Practice location

10775 Pioneer Trl Ste 215
Truckee, CA 96161-0234

Fax (415) 520-6633

Mailing address

13925 Interurban Ave S Ste 120
Tukwila, WA 98168-5718

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XSC61251190 (WA)

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 1861086076

Melissa Polanco, MSW, LSWAIC's National Provider Identifier is 1861086076, issued on Feb 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Truckee, CA. The record was last updated on Mar 6, 2026.