Patricia Rena Dejesus
NPI 1083217954ActiveIndividual· Social Worker, Clinical· Middletown, NY
Social Worker, Clinical with Second Chance Counseling PLLC, practicing in Middletown, New York. Medicare paid $36,323 for services to 26 patients in 2024.
Overview
| NPI | 1083217954 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 20, 2020 |
| Last updated in NPPES | Aug 30, 2021 |
| Certified by provider | Aug 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 085061 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 425 across 3 procedure codes |
| Paid by Medicare | $36,323 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Second Chance Counseling PLLCMiddletown, NY · 3 clinicians
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