Rebecca L Dessertine, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122778 Issued in MA

Practice address

1696 Massachusetts Ave FL 2
Cambridge, MA 02138-1803

Phone

(978) 252-3442

NPI assigned

Sep 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rebecca Dessertine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1013387455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOUNT VERNON ST UNIT 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024766147",
            "telephone_number": "323-702-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 MASSACHUSETTS AVE FL 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381803",
            "telephone_number": "978-252-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSERTINE",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL LICENSURE",
            "identifier": "122778",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DESSERTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Desimone, L.D.O
• Kathryn Desimone, LCSW
• Kunya Scarborough Desjardins, PH.D.
• James Francis Desmond Jr., LMHC
• Astrid Desrosiers, MD MPH
• Thomas John Deters, PHD
• Grace Rosemary Devane, MSW
• Julie Devito, PA-C
• Victoria Devlin, R.PH.
• Jonathan Patrick Deweese, MSN, NP-C, PMHNP

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.