Mary Desantis, LCSW is a
Social Worker - Clinical based in Rochester, New York. Mary Desantis is licensed to practice in New York (license number 095296) and her current practice location is
945 E Henrietta Rd Ste A-2, Rochester, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 773-4396.
NPI number for Mary Desantis is 1134631310 and her current mailing address is 945 E Henrietta Rd Ste A-2, Rochester, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134631310.
Healthcare Provider's Profile
| Full Name | Mary Desantis |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 945 E Henrietta Rd Ste A-2, Rochester, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134631310
- Provider Enumeration Date: 10/28/2017
- Last Update Date: 05/01/2023
Medical Identifiers
Medical identifiers for Mary Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134631310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18789 (New York) | Secondary |
| 104100000X | Social Worker | 086207 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 095296 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Desantis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Desantis, LCSW
945 E Henrietta Rd Ste A-2,
Rochester, NY 14623-1419
Ph: (585) 773-4396 | Mary Desantis, LCSW
945 E Henrietta Rd Ste A-2,
Rochester, NY 14623-1419
Ph: (585) 773-4396 |
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