Active NPI
Desiree Christine Terry, ACSW
- Clinical Social Worker
- Palmdale, CA
National Provider Identifier
1033768478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 95774
- Practice address
- 1529 E Palmdale Blvd Ste 150
Palmdale, CA 93550-2038 - Phone
- (661) 575-1800
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 95774 | CA | |
| Clinical Social Worker | 1041C0700X | 95774 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 123878 | CA |
Addresses
Primary practice location
1529 E Palmdale Blvd Ste 150
Palmdale, CA 93550-2038
Mailing address
1529 E Palmdale Blvd Ste 150
Palmdale, CA 93550-2038
Phone (661) 575-1800
Other practice location 1
10605 Balboa Blvd Ste 100
Granada Hills, CA 91344-6367
Phone (818) 832-2400
Other practice location 2
6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-1576
Phone (818) 755-8786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123878 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1033768478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 E PALMDALE BLVD STE 150",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502038",
"telephone_number": "661-575-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 E PALMDALE BLVD STE 150",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502038",
"telephone_number": "661-575-1800"
}
],
"practiceLocations": [
{
"address_1": "10605 Balboa Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Granada Hills",
"state": "CA",
"postal_code": "913446367",
"country_code": "US",
"telephone_number": "818-832-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6736 Laurel Canyon Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "North Hollywood",
"state": "CA",
"postal_code": "916061576",
"country_code": "US",
"telephone_number": "818-755-8786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "DESIREE",
"middle_name": "CHRISTINE",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "95774",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "95774",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "123878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.