Alexis Desjardins, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04788 Issued in RI

Practice address

24 Salt Pond Rd Ste G1
South Kingstown, RI 02879-4325

Phone

(401) 575-7873

NPI assigned

Nov 10, 2022

Last updated

Sep 30, 2026By 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 RI

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, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.alexisdesjardins@151046.advancedmd-direct.com

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.

• Child and Family Psychiatry, Inc.

  dba LifeStance Health

  • Psychiatry Physician
  • Warwick, RI
  • NPI 1760863229

  Clinical

  Medicare reassignment NPD
• Unjaded Clinical LLC

  • Clinical Social Worker
  • South Kingstown, RI
  • NPI 1275446189
  NPD (past) Authorized official
• Gershon Psychological Associates, LLC

  • Psychologist
  • Warwick, RI
  • NPI 1538366935
  NPD (past)

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1023726841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODVILLE RD",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028322427",
            "telephone_number": "401-575-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE G1",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028794325",
            "telephone_number": "401-575-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Village Square Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028792569",
            "country_code": "US",
            "telephone_number": "401-785-0040",
            "fax_number": "401-941-7847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "ALEXIS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Daigneault, LICSW
• Aprile Rose Daley, LICSW
• Laura Davidson, NP
• Brooke Degidio, CCC-SLP
• Catherine Ann Degood, D.O.
• Dina Dicola
• Cameron Dimaria, DC
• Dr. Joy Heafner
• Andria Duarte, PMHNP-BC
• Nancy H. Embleton, LICSW

• Clinical Social Worker in South Kingstown, RI
• Providers in South Kingstown, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.