Desery Alicea, LCSW

Key facts

NPI

1003544263

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

License

44SL06826300 (NJ)

Practice address

802 Tilton Rd Ste 103
Northfield, NJ 08225-1233

Phone

(609) 377-8074

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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

• Individual and Family Therapeutic Wellness Clinical Social Worker · Northfield, NJ · NPI 1508453788
  Medicare reassignment NPD NJ

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 26, 2025.

{
    "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": []
}

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