Individual provider Active NPI

Danielle Desisto, LCSW

  • Social Worker
  • Fitchburg, MA
National Provider Identifier
1518459247
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
226199 Issued in MA
Practice address
49 Nursery LN
Fitchburg, MA 01420-3576
Phone
(978) 784-5320
NPI assigned
May 30, 2018
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 226199 MA Primary

Addresses

Primary practice location

49 Nursery LN
Fitchburg, MA 01420-3576

Mailing address

49 Nursery LN
Fitchburg, MA 01420-3576
Phone (978) 784-5320

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ddesisto@mocinc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210111001136 MA Practitioner - Clinical Social Worker 6507279619 Reassigns benefits to 2 organizations
I20250604000317 NH Practitioner - Clinical Social Worker 6507279619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rollins Counseling Center LLCGroup PAC ID 8426460908, 13 clinicians
Making Opportunity Count, Inc.Group PAC ID 6608881354, 8 clinicians

Practice addresses (Care Compare)

130 Main St
Suite 201a
Salem, NH 03079-3171
Phone (978) 999-2165

49 Nursery LN
Suite 201
Fitchburg, MA 01420-3576
Phone (978) 345-7040

70 Broadway St
Westford, MA 01886-2148
Phone (978) 999-2165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rollins Counseling Center LLC CurrentSince Apr 8, 2025 Accepting new patients
The Mental Health Center of Greater Manchester PastSince Jul 28, 2010 Accepting new patients

Locations

70 Broadway St
Westford, MA 01886
Phone (978) 337-3676

130 Main St
Ste 201A
Salem, NH 03079
Phone (978) 999-2165

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1518459247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 NURSERY LN",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203576",
            "telephone_number": "978-784-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 NURSERY LN",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203576",
            "telephone_number": "978-784-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESISTO",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "226199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ddesisto@mocinc.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "49 Nursery Ln",
            "city": "Fitchburg",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014203576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.