NPIMap

Organization Active NPI

Desired Change Therapeutic Solutions a Licensed Clinical Social Worker

Doing business as Desired Change Therapeutic Solutions

  • Clinical Social Worker
  • Rialto, CA
National Provider Identifier
1073206975
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DESIRED CHANGE THERAPEUTIC SOLUTIONS A LICENSED CLINICAL SOCIAL WORKER
Doing business as
Desired Change Therapeutic Solutions
Practice address
822 S Breden LN
Rialto, CA 92376-7829
Phone
(909) 609-6078
NPI assigned
May 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Deserae Quezada, LCSWNPI 1700539590
Title
Ceo
Phone
(909) 609-6078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

822 S Breden LN
Rialto, CA 92376-7829

Mailing address

1734 N Riverside Ave Ste 1
Rialto, CA 92376-8058
Phone (909) 329-3399

Other names 1

  • Desired Change Therapeutic Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

14050 Cherry Ave
Ste R
Fontana, CA 92337
Phone (310) 935-0327

1734 N Riverside Ave
Ste 1
Rialto, CA 92376
Phone (909) 255-3384

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1073206975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 N RIVERSIDE AVE STE 1",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768058",
            "telephone_number": "909-329-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S BREDEN LN",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767829",
            "telephone_number": "909-609-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRED CHANGE THERAPEUTIC SOLUTIONS A LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "DESERAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-609-6078",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desired Change Therapeutic Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desired Change Therapeutic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.