Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Amico, LCSW

Individual provider Clinical Social Worker · NPI 1992969778

Lisa Amico, LCSW is a Clinical Social Worker in Occidental, California. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3740 Joy Rd
Occidental, CA 95465
Phone: (510) 759-1415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 22410 (CA)

Record details

NPI number1992969778
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 11, 2008
Last updated in NPPESJuly 8, 2024
Certification dateJune 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Occidental