Jessica Desai, LCSW

Individual provider Active NPI Clinical Social Worker · Easton, CT

NPI 1972189801 · NPPES record last updated Mar 6, 2025

Key facts

NPI
1972189801
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
012333 (CT)
Practice address
PO Box 144
Easton, CT 06612
Phone
(203) 212-9924
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Desai LLC Clinical Current
since Mar 11, 2025
Accepting new patients
Tabitha B. Fortt, M.D., LLC Past
since May 1, 2022
Accepting new patients
Amy Albero LLC Clinical Past
since May 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 012333 CT Yes

Addresses

Primary practice location

PO Box 144
Easton, CT 06612

Mailing address

PO Box 144
Easton, CT 06612
Phone (203) 212-9924

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 6, 2025.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1972189801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "06612",
            "telephone_number": "203-212-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "06612",
            "telephone_number": "203-212-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "012333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, CT

All providers in Easton, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.