Provider Demographics
NPI:1982837654
Name:SCIME, DESIREE A (LMFT, LADC)
Entity Type:Individual
Prefix:MS
First Name:DESIREE
Middle Name:A
Last Name:SCIME
Suffix:
Gender:F
Credentials:LMFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-3651
Mailing Address - Country:US
Mailing Address - Phone:203-668-1926
Mailing Address - Fax:203-583-3927
Practice Address - Street 1:27 SIEMON COMPANY DR STE 110W
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-2654
Practice Address - Country:US
Practice Address - Phone:203-668-1926
Practice Address - Fax:203-583-3927
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1437106H00000X, 106H00000X
CT877101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1199429OtherCAQH
CT008056849Medicaid
CTPENDINGOtherANTHEM BCBS OF CT
1199429OtherCAQH
CTPENDINGOtherAETNA BEHAVIORAL HEALTH
CTPENDINGOtherCONNECTICARE
CTPENDINGMedicaid
CTPENDINGOtherOPTUM BEHAVIORAL HEALTH