Individual provider Active NPI

Desiree Sayre, MSW, ACSW

  • Clinical Social Worker
  • Fountain Valley, CA
National Provider Identifier
1730564147
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW81402 Issued in CA
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

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211004003107 CA Practitioner - Clinical Social Worker 3678971702 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW66887CAMDClinical Social Worker
LCSW81402CAMDClinical Social Worker
81402CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Aug 16, 2023 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Feb 14, 2025 Accepting new patients
Psycare Inc CurrentSince Aug 1, 2021 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.

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

Verify at the official NPI Registry.