Ditzia E Desuze, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

285 Livingston St
Brooklyn, NY 11217-1006

Phone

(718) 802-0666

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2022.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1417618000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 EASTERN PKWY APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251470",
            "telephone_number": "347-788-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171006",
            "telephone_number": "718-802-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESUZE",
        "first_name": "DITZIA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddesuze@ccmnyc.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "285 Livingston St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112171006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Maudeline Destine
• Esther Destine
• Mongle Destine
• Roobie Destine
• Destined Horizons Mental Health Practice Professional Corporation
• Dangela Nyrobi Desvarieux
• Stephanie Desvarieux
• Eleanor Dethomas, MD
• Maxwell Chase Detweiler
• Lawrence Crawford Deurloo, LCSW

• All providers in Brooklyn, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.