Desery Alicea, LCSW
Social Worker in Northfield, NJ. Individual provider (NPI-1).
NPI number1003544263
StatusActive
Last updated in NPPESOct 26, 2025
Details
- NPI
- 1003544263
- Entity type
- Individual (NPI-1)
- Name
- Desery Alicea
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Oct 26, 2025
- Last updated
- Oct 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 44SL06826300 | NJ | Yes |
Practice location
802 Tilton Rd Ste 103Northfield, NJ 08225-1233
Phone 609-377-8074
Mailing address
802 Tilton Rd Ste 102Northfield, NJ 08225-1233
Phone 609-377-8074
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Social Worker providers in Northfield · All 512 providers in Northfield
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