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

Michael Joseph Polisso, LCSW

Individual provider Clinical Social Worker · NPI 1992349310

Michael Joseph Polisso, LCSW is a Clinical Social Worker in Stanford, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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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 107518 (CA)

Record details

NPI number1992349310
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 29, 2019
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

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