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MR. DESMON WISE LMSW
NPI 1912581414
Social Worker - Clinical in Hamden, CT

Active since May 11, 2021PECOS Enrolled
2553 WHITNEY AVE, HAMDEN, CT 06518(203) 584-7971 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Desmon Wise Lmsw NPPES

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

MR. DESMON WISE LMSW (NPI 1912581414) is an individual clinical provider in Hamden, Connecticut, licensed in Connecticut (4749) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912581414
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DESMON WISECredential: LMSW
Location Address2553 WHITNEY AVEHamden, CT 06518-3021
Mailing Address281 Main St Apt C3Farmington, CT 06032-2944 · (860) 656-5491
Phone(203) 584-7971
Sole ProprietorNo
Enumeration DateMay 11, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1912581414 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 CT · 4749
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.
2553 WHITNEY AVE, Hamden, CT 06518
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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)

Mr. Desmon Wise Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Desmon Wise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Connecticut
30 mi
Psychiatric Hospital
500 VINE STREET
Hartford, CT 06112
  • Reassigned Medicare billing, Connecticut enrollment
  • 109 clinicians in this Medicare group
NPI 1487689022 (860) 297-0975

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 06518 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 8

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

QUALITY COUNSELING, LLC
Counselor (Professional)
2553 WHITNEY AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (475) 221-3998
MEDICATION MANAGEMENT SOLUTIONS, LLC
Clinical Nurse Specialist (Psychiatric/Mental Health)
2553 WHITNEY AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 605-1595
NAUTIKA NICOLE DRUMMOND LCSW
Social Worker (Clinical)
2553 WHITNEY AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 584-7971
AJ COUNSELING LLC
Social Worker (Clinical)
2553 WHITNEY AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (860) 800-9494
AVELINE PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
2553 WHITNEY AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (917) 856-7195
KYM MCKOY
Counselor (Professional)
2553 WHITNEY AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 584-7971
FAMILY PSYCHIATRIC SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
2553 WHITNEY AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 747-5282
MICHEL M DAVIS LMHC
Counselor (Professional)
2553 WHITNEY AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 584-7971

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 Desmon Wise's NPI number?

The NPI number for Desmon Wise is 1912581414. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Desmon Wise located?

Desmon Wise practices at 2553 Whitney Ave, Hamden, CT 06518. The listed phone number is (203) 584-7971.

What is Desmon Wise's specialty?

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

Is Desmon Wise enrolled in Medicare?

Yes. Desmon Wise is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desmon Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desmon Wise reassigns Medicare benefits to State Of Connecticut (Hartford, CT). 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 Desmon Wise'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 Desmon Wise was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.