MRS. LYNNE MICHELLE DACOSTA L.C.S.W.
NPI 1629150628
Social Worker - Clinical in Banning, CA

Q: What is Lynne Dacosta's NPI number?

The NPI number for Lynne Dacosta is 1629150628. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Lynne Dacosta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lynne Dacosta was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 19, 2006

1627 S HARGRAVE ST, BANNING, CA 92220(951) 922-7840(951) 922-7752 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2021, Apr 10, 2017 (2 updates tracked since 2017).

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About Mrs. Lynne Michelle Dacosta L.c.s.w. NPPES

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

MRS. LYNNE MICHELLE DACOSTA L.C.S.W. (NPI 1629150628) is an individual clinical provider in Banning, California, licensed in California (21205) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1629150628

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. LYNNE MICHELLE DACOSTACredential: L.C.S.W.

Location Address1627 S HARGRAVE STBanning, CA 92220-6169

Mailing Address2085 Rustin Ave Ste 1Riverside, CA 92507-2498 · (951) 955-7320

Phone(951) 922-7840

Fax(951) 922-7752

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateApril 14, 20212 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1629150628 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 · 21205

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.

1627 S HARGRAVE ST, Banning, CA 92220

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Other Identifiers 1

OtherLCS 21205CA · L.c.s.w.

Other Providers at the Same Location NPPES 20

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

SHENIE BREWER

Case Manager/Care Coordinator