Active NPI
Desiree Sayre, MSW, ACSW
- Clinical Social Worker
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW81402
- Practice address
- 18350 Mount Langley St
Suite 220
Fountain Valley, CA 92708-6900 - Phone
- (714) 378-2620
- NPI assigned
- Jul 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW66887 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW81402 | CA | Primary |
Addresses
Primary practice location
18350 Mount Langley St
Suite 220
Fountain Valley, CA 92708-6900
Mailing address
15 Thornwood
Irvine, CA 92604-3227
Phone (714) 856-5097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW66887 | CA | MD | Clinical Social Worker |
| LCSW81402 | CA | MD | Clinical Social Worker |
| 81402 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Health Solutions a Professional Medical Corporation | Current | Accepting new patients | |
| Grow Healthcare Group PC | Clinical | Current | Accepting new patients |
| Psycare Inc | Current | Accepting new patients | |
| Western Youth Services | Past | Accepting new patients | |
| New Alternatives Inc. | Past | Accepting new patients |
Locations
4160 Temescal Canyon Rd
Ste 205
Corona, CA 92883
1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380
3300 Webster St
Ste 803
Oakland, CA 94609
4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223
360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137
360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
31573 Rancho Pueblo Rd
Ste 200
Temecula, CA 92592
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 5
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1881894483
-
- Mental Health Counselor
- San Diego, CA
- NPI 1811927106
-
- Case Management Agency
- Fountain Valley, CA
- NPI 1174989735
-
- Community/Behavioral Health Agency
- Fountain Valley, CA
- NPI 1215484019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1730564147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 THORNWOOD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926043227",
"telephone_number": "714-856-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST",
"address_2": "SUITE 220",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086900",
"telephone_number": "714-378-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYRE",
"first_name": "DESIREE",
"credential": "MSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW66887",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW81402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.