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

Lyndsy Marie Mirasola, LCSW

Individual provider Counselor · NPI 1053719138

Lyndsy Marie Mirasola, LCSW is a Counselor in Grass Valley, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
5
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

11291 Dray Coury
Grass Valley, CA 95945-9594
Phone: (530) 205-3130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 90200 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 63657 (CA)
Social Worker Taxonomy 104100000X · Licence ASW63657 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW63657 (CA)

Record details

NPI number1053719138
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 5, 2014
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

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