Individual provider Active NPI

Brenda Deesso, LCSW-R

  • Clinical Social Worker
  • Ossining, NY
National Provider Identifier
1487055778
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078220-1 Issued in NY
Practice address
100 S Highland Ave Ste 11
Ossining, NY 10562-5634
Phone
(914) 432-2470
NPI assigned
Sep 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078220-1 NY Primary

Addresses

Primary practice location

100 S Highland Ave Ste 11
Ossining, NY 10562-5634

Mailing address

100 S Highland Ave Ste 11
Ossining, NY 10562-5634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078220-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intrinsic Mental Health Counseling LLC CurrentSince Oct 27, 2019 Accepting new patients

Locations

100 S Highland Ave
Ste 11
Ossining, NY 10562
Phone (914) 432-2470

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": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1487055778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S HIGHLAND AVE STE 11",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S HIGHLAND AVE STE 11",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625634",
            "telephone_number": "914-432-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEESSO",
        "first_name": "BRENDA",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-06",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.