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MIA NICHOLE DESSESAURE
NPI 1659850097
Social Worker in Mount Vernon, NY

Active since August 07, 2018PECOS Enrolled
PO BOX 1074, MOUNT VERNON, NY 10551(914) 893-6921 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2025, Nov 4, 2025, Aug 7, 2018 (3 updates tracked since 2018).

About Mia Nichole Dessesaure NPPES

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

MIA NICHOLE DESSESAURE (NPI 1659850097) is an individual social worker in Mount Vernon, New York, licensed in New York (101553) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659850097
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMIA NICHOLE DESSESAURE
Location AddressPO BOX 1074Mount Vernon, NY 10551-1074
Mailing Address100 De Kruif Pl Apt 21gBronx, NY 10475-2420 · (917) 280-3877
Phone(914) 893-6921
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 7, 2018
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1659850097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 101553
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
PO BOX 1074, Mount Vernon, NY 10551
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia Nichole Dessesaure is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153815576
PECOS Enrollment IDI20251212002510
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mia Dessesaure reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,105 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mia Dessesaure's NPI number?

The NPI number for Mia Dessesaure is 1659850097. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Mia Dessesaure located?

Mia Dessesaure practices at PO Box 1074, Mount Vernon, NY 10551. The listed phone number is (914) 893-6921.

What is Mia Dessesaure's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mia Dessesaure enrolled in Medicare?

Yes. Mia Dessesaure is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mia Dessesaure's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mia Dessesaure reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mia Dessesaure's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mia Dessesaure accept?

Health plans from Blue Cross and Blue Shield of Texas list Mia Dessesaure 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 Mia Dessesaure was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.