Active NPIIndividual provider

Nicole G Derisi

Social Worker, Clinical in Edison, New Jersey

NPI Number1831843010
Practice location
2035 Lincoln Hwy Ste 1150, Edison, NJ 08817-3351
Fax
—
Last updated
July 6, 2026

Nicole G Derisi is a Social Worker, Clinical based in Edison, NJ. Nicole G Derisi practices in Edison, NJ. The NPI Number for Nicole G Derisi is 1831843010 and holds a License No. RBT-21-198035 (NJ). The current practice location address for Nicole G Derisi is 2035 Lincoln Hwy Ste 1150, Edison, NJ 08817-3351 and can be reached out via phone at 866-557-8669.

Provider Profile Details

NPI Number
1831843010
Provider Name
Nicole G Derisi
Provider Entity Type
Individual
Gender
Female
Address
2035 Lincoln Hwy Ste 1150, Edison, NJ 08817-3351
Phone Number
866-557-8669
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 7, 2022
Last Update Date
July 6, 2026
Certification Date
July 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2035 Lincoln Hwy Ste 1150
Edison, NJ 08817-3351
City
Edison
Zip
08817-3351
Phone Number
866-557-8669
Edison, NJ 08817Get directions →

Provider Business Mailing Address Details

Address
293 Colonia Blvd
Colonia, NJ 07067-3025
City
Colonia
State
NJ
Zip
07067-3025
Phone Number
732-675-1868

License Information

License Number
RBT-21-198035
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 G Derisi?

The NPI number of Nicole G Derisi is 1831843010. It was assigned on February 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Nicole G Derisi?

Nicole G Derisi is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number RBT-21-198035.

Where does Nicole G Derisi practice?

The practice location is 2035 Lincoln Hwy Ste 1150, Edison, NJ 08817-3351. The office can be reached at 866-557-8669 (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 1831843010 directly on the NPPES registry website.

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