Barbara Desiderio, LCSW
Individual provider Active NPI Clinical Social Worker · Centerport, NY
NPI 1689680308 · NPPES record last updated May 27, 2010
Key facts
- NPI
- 1689680308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 075154-1 (NY)
- Practice address
- 10 Benham CT
Centerport, NY 11721-1507 - Phone
- (631) 239-5259
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075154-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 075154-1 | NY | Yes |
Addresses
Primary practice location
10 Benham CT
Centerport, NY 11721-1507
Mailing address
10 Benham CT
Centerport, NY 11721-1507
Phone (631) 239-5259
Other providers in Centerport, NY
- Patricia F Coyle
- Thomas John D'Amico
- David J Pincus MD
- Mary Beth Denniston
- Kerin Ann Desena
- Angela Dinatale
- Emily Doggett
- Susan Dolan
- Elizabeth Driver
- Jennifer Noel Duffy
All providers in Centerport, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.