Desery Alicea, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06826300 Issued in NJ

Practice address

802 Tilton Rd Ste 103
Northfield, NJ 08225-1233

Phone

(609) 377-8074

NPI assigned

Aug 15, 2022

Last updated

Oct 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1874/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/3583/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Individual and Family Therapeutic Wellness

  • Clinical Social Worker
  • Northfield, NJ
  • NPI 1508453788
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761436800000",
    "number": "1003544263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TILTON RD STE 102",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251233",
            "telephone_number": "609-377-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 TILTON RD STE 103",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251233",
            "telephone_number": "609-377-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "DESERY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2025-10-26",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06826300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Shore Imaging Associates
• Advent Medical & Respiratory Inc.
• Affiliates in Psychotherapy
• Rosario Marquez Alfaro, NP-C
• Alg Enterprises LLC
• All Pro Physical Therapy
• Kelsey Jane Allen, NP
• Rosadigna Allen, LCSW, LCADC
• Allen's Shoes
• Morris Antebi, MD

• Social Worker in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.