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LISA PACK LCSW
NPI 1225710940
Social Worker - Clinical in San Rafael, CA

Active since August 02, 2023
217 LAUREL PL APT 2, SAN RAFAEL, CA 94901(145) 254-4491 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Pack Lcsw NPPES

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

LISA PACK LCSW (NPI 1225710940) is an individual clinical provider in San Rafael, California, licensed in California (LCSW114643) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1225710940
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA PACKCredential: LCSW
Location Address217 LAUREL PL APT 2San Rafael, CA 94901-2043
Mailing Address217 Laurel Pl Apt 2San Rafael, CA 94901-2043 · (145) 254-4491
Phone(145) 254-4491
Sole ProprietorNo
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1225710940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW114643
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
217 LAUREL PL APT 2, San Rafael, CA 94901
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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 Pack's NPI number?

The NPI number for Lisa Pack is 1225710940. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Lisa Pack located?

Lisa Pack practices at 217 Laurel Pl Apt 2, San Rafael, CA 94901. The listed phone number is (145) 254-4491.

What is Lisa Pack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Lisa Pack was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.