Denessa Antoine Antoine, LMSW

Key facts

NPI

1093679433

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

121205

Practice address

20 Daly St Apt 2E
Stamford, CT 06902-3842

Phone

(203) 898-5488

NPI assigned

Dec 10, 2025

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2025.

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1093679433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DALY ST APT 2E",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023842",
            "telephone_number": "203-898-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DALY ST APT 2E",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023842",
            "telephone_number": "203-898-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "DENESSA ANTOINE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "121205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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