Individual provider Active NPI

Dawn Desorcie, LMSW

  • Clinical Social Worker
  • Binghamton, NY
National Provider Identifier
1295136943
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082471 Issued in NY
Practice address
184 Court St
Binghamton, NY 13901-3515
Phone
(607) 584-4465
NPI assigned
Sep 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 079550 NY
Clinical Social Worker 1041C0700X 082471 NY Primary

Addresses

Primary practice location

184 Court St
Binghamton, NY 13901-3515

Mailing address

184 Court St
Binghamton, NY 13901-3515

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170623000805 NY Practitioner - Clinical Social Worker 4880962489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Lady of Lourdes Memorial Hospital IncGroup PAC ID 1254237779, shared by 10 NPIs, 249 clinicians

Practice addresses (Care Compare)

184 Court St
Binghamton, NY 13901-3515
Phone (607) 584-4465

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082471NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince May 6, 2017 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Jul 7, 2024 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince May 6, 2017 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

184 Court St
Binghamton, NY 13901
Phone (607) 584-4465

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1295136943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 COURT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 COURT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013515",
            "telephone_number": "607-584-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESORCIE",
        "first_name": "DAWN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079550",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.