Desiree Lobianco Kavanagh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077972-1 Issued in NY

Practice address

10 Kayleen Dr
New Windsor, NY 12553-7030

Phone

(845) 565-6888

NPI assigned

Nov 1, 2010

Last updated

Dec 8, 2011By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Fordham University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Windsor Counseling Group

  • Marriage & Family Therapist
  • New Windsor, NY
  • NPI 1295803997

  Clinical

  NPD (past)
• Windsor Counseling Group

  • Community/Behavioral Health Agency
  • Middletown, NY
  • NPI 1306239306
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1053611574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537030",
            "telephone_number": "845-565-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537030",
            "telephone_number": "845-565-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "DESIREE",
        "middle_name": "LOBIANCO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077972-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUECROSS BLUESHIELD",
            "identifier": "NCG001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "9446621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendan James Kachou, PHARMD
• Melissa Kagen, APRN-NP
• Hillary Brooks Kalomeris, MS-CCC-SLP
• Elizabeth S Kaminska, MD
• Kaplan Career Academy
• Mary Katherine Keane, MS, CF-SLP, TSSLD
• Ruth Louisa Keeling, PA-C
• Kay Keise, NP-C
• Hollis Abbott Kellogg, OTR/L
• Roseann R Kennedy, PT

• Clinical Social Worker in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.