Ms. Kerry L Desista, LCSW
Social Worker, Clinical in Medford, Massachusetts
1063599579- Practice location
- 10 Cabot RD, Suite 209, Medford, MA 02155-5177
- Phone
- 781-395-0351
- Fax
- —
- Last updated
- July 7, 2009
Kerry Lynn Desista is a Social Worker, Clinical based in Medford, MA. Kerry Lynn Desista practices in Medford, MA and has the professional credentials of LCSW. The NPI Number for Kerry Lynn Desista is 1063599579. The current practice location address for Kerry Lynn Desista is 10 Cabot RD, Suite 209, Medford, MA 02155-5177 and can be reached out via phone at 781-395-0351.
Provider Profile Details
- NPI Number
- 1063599579
- Provider Name
- Kerry Lynn Desista
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Cabot RD, Suite 209, Medford, MA 02155-5177
- Phone Number
- 781-395-0351
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Ms. Kerry Lynn Shea, LCSW (Former Name)
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- July 7, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Cabot RD
Suite 209
Medford, MA 02155-5177 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5177
- Phone Number
- 781-395-0351
Provider Business Mailing Address Details
- Address
- 10 Cabot RD
Suite 209
Medford, MA 02155-5177 - City
- Medford
- State
- MA
- Zip
- 02155-5177
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Medford, MA
View all Social Worker, Clinical providers in Medford →- Alanah T Hodges, LCSWSocial Worker, Clinical · NPI 1518892488
- Alanna BunzelSocial Worker, Clinical · NPI 1679941355
- Alexandra B Rose, LCSWSocial Worker, Clinical · NPI 1588428650
- Alice J Kim, LICSWSocial Worker, Clinical · NPI 1184632663
- Alicia M CarnevaleSocial Worker, Clinical · NPI 1710406673
- Alison B Christopher, LICSWSocial Worker, Clinical · NPI 1235307356
Frequently Asked Questions
What is the NPI number of Ms. Kerry L Desista, LCSW?
The NPI number of Ms. Kerry L Desista, LCSW is 1063599579. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Kerry L Desista, LCSW?
Ms. Kerry L Desista, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Ms. Kerry L Desista, LCSW practice?
The practice location is 10 Cabot RD, Suite 209, Medford, MA 02155-5177. The office can be reached at 781-395-0351 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063599579 directly on the NPPES registry website.