Lynne Michelle Dacosta in Riverside - Clinical
Lynne Michelle Dacosta - NPI 1629150628
Lynne Michelle Dacosta is a Clinical in Riverside, California. Lynne Michelle Dacosta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lynne Michelle Dacosta is 1629150628. The last update date is 2021-04-14.
Lynne Michelle Dacosta's current location address is 2085 Rustin Ave Ste 1, Riverside, California. You can contact this provider via phone number 9519557320. The mailing address for Lynne Michelle Dacosta is 2085 Rustin Ave Ste 1, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynne Michelle Dacosta |
|---|---|
| Address | 2085 Rustin Ave Ste 1, Riverside, California |
| Phone Number | 9519557320 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1629150628 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2021-04-14 |
Provider Mailing Address Detail
| Address | 2085 Rustin Ave Ste 1 |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925072498 |
| Phone Number | 9519557320 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 21205 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCS 21205 | CA | L.C.S.W. |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lynne Michelle Dacosta by the Centers for Medicare & Medicaid Services?
The Lynne Michelle Dacosta has been assigned the NPI (National Provider Identifier) 1629150628 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lynne Michelle Dacosta is located?
The Lynne Michelle Dacosta is situated at the following address: 2085 Rustin Ave Ste 1, Riverside, CA, 925072498.
What is the Lynne Michelle Dacosta's specialty and taxonomy code?
The Lynne Michelle Dacosta's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Lynne Michelle Dacosta receive its 1629150628 assignment?
The Lynne Michelle Dacosta was assigned its 1629150628 on 2006-10-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lynne Michelle Dacosta, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lynne Michelle Dacosta, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-14.