Individual provider · Type 1 NPI
Michael Joseph Polisso, LCSW
Clinical Social Worker · Stanford, CA
Practice location
300 Pasteur Drive
Stanford, CA 94305-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 107518 (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 1992349310
Michael Joseph Polisso, LCSW's National Provider Identifier is 1992349310, issued on Oct 29, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stanford, CA. The record was last updated on Mar 17, 2025.