Nicole M Derobertis, LCSW
Social Worker, Clinical in Woodbridge, Connecticut
1235324567- Practice location
- 245 Amity RD Ste 209, Woodbridge, CT 06525-2274
- Phone
- 203-644-0557
- Fax
- —
- Last updated
- September 8, 2024
Nicole Marie Derobertis is a Social Worker, Clinical based in Woodbridge, CT. Nicole Marie Derobertis practices in Woodbridge, CT and has the professional credentials of LCSW. The NPI Number for Nicole Marie Derobertis is 1235324567 and holds a License No. 007800 (CT). The current practice location address for Nicole Marie Derobertis is 245 Amity RD Ste 209, Woodbridge, CT 06525-2274 and can be reached out via phone at 203-644-0557.
Provider Profile Details
- NPI Number
- 1235324567
- Provider Name
- Nicole Marie Derobertis
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 245 Amity RD Ste 209, Woodbridge, CT 06525-2274
- Phone Number
- 203-644-0557
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 10, 2007
- Last Update Date
- September 8, 2024
- Certification Date
- September 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 245 Amity RD Ste 209
Woodbridge, CT 06525-2274 - City
- Woodbridge
- State
- Connecticut
- Zip
- 06525-2274
- Phone Number
- 203-644-0557
Provider Business Mailing Address Details
- Address
- 15A Indian Ridge RD
Yarmouth, ME 04096-7135 - City
- Yarmouth
- State
- ME
- Zip
- 04096-7135
- Phone Number
- 203-644-0557
License Information
- License Number
- 007800
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicole M Derobertis, LCSW?
The NPI number of Nicole M Derobertis, LCSW is 1235324567. It was assigned on September 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Nicole M Derobertis, LCSW?
Nicole M Derobertis, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 007800.
Where does Nicole M Derobertis, LCSW practice?
The practice location is 245 Amity RD Ste 209, Woodbridge, CT 06525-2274. The office can be reached at 203-644-0557 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235324567 directly on the NPPES registry website.