Individual ProviderCandace DesienaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address11 W Prospect Ave Fl 4, C/O Wjcs, Mount Vernon, NY 10550(914) 668-8938PECOS EnrollmentBased on the most recent information from CMS, provider Candace Desiena does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1558819623Provider TypeIndividualFull NameDesiena, CandaceCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date9/16/2016Last Updated4/15/2021Contact InformationPractice LocationPractice Address11 W Prospect Ave Fl 4, C/O Wjcs, Mount Vernon, NY 10550Phone(914) 668-8938Fax(914) 668-2545Mailing LocationMailing Address11 W Prospect Ave Fl 4, C/O Wjcs, Mount Vernon, NY 10550-2017Phone(914) 668-8938Fax(914) 668-2545Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense091210New York