MS. AMANDA DESJARDIN LICSW
NPI 1225416712
Social Worker - Clinical in Worcester, MA

Active since May 15, 2015
55 LAKE AVE N, WORCESTER, MA 01655(774) 442-5551 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Amanda Desjardin Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMANDA DESJARDIN LICSW (NPI 1225416712) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (125449) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1225416712
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. AMANDA DESJARDINCredential: LICSW
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348
Sole ProprietorNo
Enumeration DateMay 15, 2015
Last NPPES UpdateJanuary 5, 2023
NPPES CertifiedJanuary 5, 2023
NPI 1225416712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 125449
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

55 LAKE AVE N, Worcester, MA 01655

Other Names 1

Former Name (1)Amanda Shaw Msw

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Desjardin's NPI number?

The NPI number for Amanda Desjardin is 1225416712. It was assigned to this individual provider in the NPPES registry on May 15, 2015. The provider is also known as Amanda Shaw Msw.

Where is Amanda Desjardin located?

Amanda Desjardin practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-5551.

What is Amanda Desjardin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Amanda Desjardin accept?

Health plans from Anthem Blue Cross and Blue Shield list Amanda Desjardin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Desjardin was last updated on January 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.