CARLYNN ALEXANDRA LACKEY
NPI 1205494515
Rehabilitation Practitioner in San Francisco, CA

Active since May 31, 2019
711 TARAVAL ST, SAN FRANCISCO, CA 94116(415) 861-0828 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2025, Apr 30, 2024, Jun 6, 2023 and 2 more (5 updates tracked since 2019).

About Carlynn Alexandra Lackey NPPES

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

CARLYNN ALEXANDRA LACKEY (NPI 1205494515) is an individual rehabilitation practitioner in San Francisco, California and active in the NPI registry since May 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205494515
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCARLYNN ALEXANDRA LACKEY
Location Address711 TARAVAL STSan Francisco, CA 94116-2516
Mailing Address368 Fell StSan Francisco, CA 94102-5144 · (415) 861-0828
Sole ProprietorNo
Enumeration DateMay 31, 2019
Last NPPES UpdateMay 8, 20255 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
NPI 1205494515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

711 TARAVAL ST, San Francisco, CA 94116

Secondary Practice Locations 2

Location 1368 Fell StSan Francisco, CA 94102-5144 · Phone (415) 861-0828
Location 277 Cortland AveSan Francisco, CA 94110-5435 · Phone (415) 861-0828 ext. 132 · Fax (415) 861-0140

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
711 TARAVAL ST
SAN FRANCISCO, CA 94116
Counselor
711 TARAVAL ST
SAN FRANCISCO, CA 94116
Rehabilitation Practitioner
711 TARAVAL ST
SAN FRANCISCO, CA 94116
Counselor
711 TARAVAL ST
SAN FRANCISCO, CA 94116
Marriage & Family Therapist
711 TARAVAL ST
SAN FRANCISCO, CA 94116
Counselor (Mental Health)
711 TARAVAL ST
SAN FRANCISCO, CA 94116
Marriage & Family Therapist
711 TARAVAL ST
SAN FRANCISCO, CA 94116
Counselor
711 TARAVAL ST
SAN FRANCISCO, CA 94116

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 Carlynn Lackey's NPI number?

The NPI number for Carlynn Lackey is 1205494515. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Carlynn Lackey located?

Carlynn Lackey practices at 711 Taraval St, San Francisco, CA 94116. The listed phone number is (415) 861-0828.

What is Carlynn Lackey's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Carlynn Lackey was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.