Alyssa Suzanne Desroches, MSW, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

181 Union St
Suite J
Lynn, MA 01901-1311

Phone

(781) 244-1950

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Suzanne Desroches Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1801171285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 BROADWAY",
            "address_2": "APT 4",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493027",
            "telephone_number": "413-885-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 UNION ST",
            "address_2": "SUITE J",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011311",
            "telephone_number": "781-244-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHES",
        "first_name": "ALYSSA",
        "middle_name": "SUZANNE",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "DESROCHES",
            "middle_name": "SUZANNE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Diamond Home Care, Inc

• Clinical Social Worker in Lynn, MA
• Providers in Lynn, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.