Candace Desiena, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091210 Issued in NY

Practice address

11 W Prospect Ave FL 4
C/O WJCS
Mount Vernon, NY 10550

Phone

(914) 668-8938

Fax

(914) 668-2545

NPI assigned

Sep 16, 2016

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1558819623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE FL 4",
            "address_2": "C/O WJCS",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502017",
            "telephone_number": "914-668-8938",
            "fax_number": "914-668-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE FL 4",
            "address_2": "C/O WJCS",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-668-8938",
            "fax_number": "914-668-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIENA",
        "first_name": "CANDACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Health (City of New York)
• Mary Depaula
• Andrea Renee Derizzio, MS CCC SLP
• Annie Louise Derrico
• Jyotsna Gupte Deshmukh, MD
• Mia Nichole Dessesaure
• Jessie Billings Destefano, OTRL
• Edly Destine, DDS
• Rita Nancy Deutsch, LCSW
• Rouchelle Deux, MSED, CCC-SLP

• Clinical Social Worker in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.