Deserae L Quezada, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW95180 Issued in CA

Practice address

1734 N Riverside Ave Ste 1
Rialto, CA 92376-8058

Phone

(909) 329-3399

NPI assigned

Feb 1, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Desired Change Therapeutic Solutions a Licensed Clinical Social Worker

  • Clinical Social Worker
  • Rialto, CA
  • NPI 1073206975
  NPD Authorized official
• Renewing Hope Family Counseling Center, Inc

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1235649260
  NPD (past)
• Renewing Hope Strategies

  • Mental Health Counselor
  • Riverside, CA
  • NPI 1033802368
  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1700539590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S BREDEN LN",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767829",
            "telephone_number": "909-609-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 N RIVERSIDE AVE STE 1",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768058",
            "telephone_number": "909-329-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "DESERAE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW95180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LCSW95180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Prill, M.A.
• Jaclyn Puga
• Maureen Leddy Pujols, LCSW
• Yasmeen Luay Qtaish
• Quantara Health Billing LLC
• Luz Elena Quezada
• Sandra Jennifer Quintana-Steinberg, LCSW
• Alejandra Quiroz
• R Ruiz M D a Medical Corp
• R Ruiz M D a Medical Corp

• Clinical Social Worker in Rialto, CA
• Providers in Rialto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.