Individual provider Active NPI

Michael V Desena

  • Clinical Social Worker
  • Murrieta, CA
National Provider Identifier
1881280519
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108768 Issued in CA
Practice address
25109 Jefferson Ave Ste 200
Murrieta, CA 92562-8117
Phone
(360) 720-9007
NPI assigned
Dec 16, 2020
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108768 CA Primary

Addresses

Primary practice location

25109 Jefferson Ave Ste 200
Murrieta, CA 92562-8117

Mailing address

25109 Jefferson Ave Ste 215
Murrieta, CA 92562-8117
Phone (951) 297-7773

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108768CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tip of the Spear Clinical Therapy Group Licensed Clinical Social Wor Clinical CurrentSince May 7, 2023 Accepting new patients

Locations

25109 Jefferson Ave
Ste 200
Murrieta, CA 92562
Phone (360) 720-9007

25109 Jefferson Ave
Ste 215
Murrieta, CA 92562

41880 Kalmia St
Ste 115
Murrieta, CA 92562
Phone (562) 233-2260

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": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1881280519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25109 JEFFERSON AVE STE 215",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628117",
            "telephone_number": "951-297-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25109 JEFFERSON AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628117",
            "telephone_number": "360-720-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESENA",
        "first_name": "MICHAEL",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.