Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Desantis, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134631310

Mary Desantis, LCSW is a Clinical Social Worker in Rochester, New York. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

945 E Henrietta Rd Ste A-2
Rochester, NY 14623-1419
Phone: (585) 773-4396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 095296 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 18789 (NY)
Social Worker Taxonomy 104100000X · Licence 086207 (NY)

Record details

NPI number1134631310
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 28, 2017
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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