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MRS. LISA MARIE POLACCI LCSW
NPI 1023838158
Counselor - Mental Health in San Rafael, CA

Active since October 14, 2024
11 MARINERS CIR, SAN RAFAEL, CA 94903(415) 407-0255 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Lisa Marie Polacci Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA MARIE POLACCI LCSW (NPI 1023838158) is an individual mental health provider in San Rafael, California, licensed in California (65052) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1023838158
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LISA MARIE POLACCICredential: LCSW
Location Address11 MARINERS CIRSan Rafael, CA 94903-5100
Mailing Address11 Mariners CirSan Rafael, CA 94903-5100 · (415) 407-0255
Phone(415) 407-0255
Sole ProprietorYes
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1023838158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 65052
11 MARINERS CIR, San Rafael, CA 94903
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Polacci's NPI number?

The NPI number for Lisa Polacci is 1023838158. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Lisa Polacci located?

Lisa Polacci practices at 11 Mariners Cir, San Rafael, CA 94903. The listed phone number is (415) 407-0255.

What is Lisa Polacci's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Polacci was last updated on October 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.