Individual provider Active NPI

Desiree Birdseye, LSW

  • Social Worker
  • Mt Pleasant, PA
National Provider Identifier
1417829185
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW141177 Issued in PA
Practice address
609 N Church St
Mt Pleasant, PA 15666-1002
Phone
(724) 626-8420
Fax
(724) 628-0898
NPI assigned
Sep 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW141177 PA Primary

Addresses

Primary practice location

609 N Church St
Mt Pleasant, PA 15666-1002

Mailing address

128 Shady LN
Greensburg, PA 15601-6818
Phone (724) 626-8420

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251209001482 PA Practitioner - Clinical Social Worker 1557855459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

416 S Pittsburgh St
Connellsville, PA 15425-4003
Phone 7246268420103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW141177PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connellsville Counseling & Psychological Services, LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

416 S Pittsburgh St
Connellsville, PA 15425
Phone (724) 626-8420

609 N Church St
Mt Pleasant, PA 15666
Phone (412) 547-9810

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1417829185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SHADY LN",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016818",
            "telephone_number": "724-626-8420",
            "fax_number": "724-628-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N CHURCH ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661002",
            "telephone_number": "724-626-8420",
            "fax_number": "724-628-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSEYE",
        "first_name": "DESIREE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW141177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.