Desirae Perez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW025647 Issued in PA

Practice address

300 Mulberry St
Scranton, PA 18503-1225

Phone

(570) 955-9479

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

Yes

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 PA

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrative Counseling Services, PCGroup PAC ID 5698046357, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Counseling Services, PC

  • Professional Counselor
  • Scranton, PA
  • NPI 1326462599
  Medicare reassignment Care Compare group NPD
• Empowered Resilience

  • Mental Health Counselor
  • Scranton, PA
  • NPI 1417844218
  NPD (past)

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1144996182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SUMMIT ST",
            "city": "NEW MILFORD",
            "state": "PA",
            "postal_code": "188342313",
            "telephone_number": "570-465-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031225",
            "telephone_number": "570-955-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DESIRAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Physician Services, LLC
• Pennsylvania Physician Services, LLC
• Marc M Pensak, OD
• John Andre Pepen
• Tara Ann Peregrim, M.S. CCC-SLP
• Carol Ann C Perfilio Pamelia, DC
• Joyce A Perih, DDS, MS
• Katie Lynn Pernot-Moyer, CRNP
• Marisa Perrella, PHARMD
• Courtnie Paige Perri, MS, NCC

• Clinical Social Worker in Scranton, PA
• Providers in Scranton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.