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SHIRLEY MARIE DEJESUS LCSW
NPI 1891611919
Social Worker - Clinical in Providence, RI

Active since June 24, 2026PECOS Enrolled
55 HOPE ST, PROVIDENCE, RI 02906(401) 331-1350(401) 277-3385 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shirley Marie Dejesus Lcsw NPPES

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

SHIRLEY MARIE DEJESUS LCSW (NPI 1891611919) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (CSW04507) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1891611919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHIRLEY MARIE DEJESUSCredential: LCSW
Location Address55 HOPE STProvidence, RI 02906-2001
Mailing Address55 Hope StProvidence, RI 02906-2001 · (401) 331-1350 · Fax (401) 277-3385
Phone(401) 331-1350
Fax(401) 277-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 24, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1891611919 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 RI · CSW04507
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 HOPE ST, Providence, RI 02906
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Marie Dejesus Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890251391
PECOS Enrollment IDI20260724003778
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 Shirley Dejesus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Service Of Rhode Island, Inc.
Same address
Adult Mental Health
55 HOPE ST
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 73 clinicians in this Medicare group
NPI 1598833535 (401) 331-1350

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. CAROLANNE GEFFROY LICSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
KRISTEN DUDLEY LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 416-0794
MEGHAN BELISLE LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MILDRED BATES LICSW
Social Worker (Clinical)
55 HOPE ST, FAMILY SERVICE OF RHODE ISLAND
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MRS. MIRIAM MURPHY LCSW
Social Worker
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MRS. NICOLE ORTIZ LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
KRISTEN GARVIN LMHC
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
FAMILY SERVICE OF RHODE ISLAND, INC.
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 277-3362

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 Shirley Dejesus's NPI number?

The NPI number for Shirley Dejesus is 1891611919. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Shirley Dejesus located?

Shirley Dejesus practices at 55 Hope St, Providence, RI 02906. The listed phone number is (401) 331-1350.

What is Shirley Dejesus's specialty?

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

Is Shirley Dejesus enrolled in Medicare?

Yes. Shirley Dejesus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shirley Dejesus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Dejesus reassigns Medicare benefits to Family Service Of Rhode Island, Inc. (Providence, RI). 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 Shirley Dejesus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Dejesus was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.