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

Mia Nichole Dessesaure

Individual provider Social Worker · NPI 1659850097

Mia Nichole Dessesaure is a Clinical Social Worker in Mount Vernon, New York. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 1074
Mount Vernon, NY 10551-1074
Phone: (914) 893-6921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 101553 (NY)

Record details

NPI number1659850097
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2018
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Mount Vernon