Individual provider Active NPI

Lindsey Monique Desorbo, LCSW

  • Clinical Social Worker
  • Glastonbury, CT
National Provider Identifier
1871958173
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
011441 Issued in CT
Practice address
41C New London Tpke
Glastonbury, CT 06033-4206
Phone
(475) 331-9065
NPI assigned
Dec 31, 2015
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X 011441 CT Primary

Addresses

Primary practice location

41C New London Tpke
Glastonbury, CT 06033-4206

Mailing address

41C New London Tpke Ste 4
Glastonbury, CT 06033-4209
Phone (475) 331-9065

Other practice location 1

24 Pleasant St
East Windsor, CT 06088-9540
Phone (475) 331-9065

Other identifiers 1

IdentifierTypeStateIssuer
008106106MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011441CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous Counseling LLC Clinical CurrentSince Aug 3, 2025 Accepting new patients

Locations

41C New London Tpke
Ste 4
Glastonbury, CT 06033
Phone (475) 331-9065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1871958173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41C NEW LONDON TPKE STE 4",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334209",
            "telephone_number": "475-331-9065",
            "fax_number": "855-978-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41C NEW LONDON TPKE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334206",
            "telephone_number": "475-331-9065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "East Windsor",
            "state": "CT",
            "postal_code": "060889540",
            "country_code": "US",
            "telephone_number": "475-331-9065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESORBO",
        "first_name": "LINDSEY",
        "middle_name": "MONIQUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008106106",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.