Nicole Derobertis, LCSW, LLC
Social Worker, Clinical in Woodbridge, Connecticut
1982077947- Practice location
- 245 Amity RD Ste 209, Woodbridge, CT 06525-2274
- Phone
- 203-644-0557
- Fax
- 203-504-7941
- Last updated
- September 8, 2024
Nicole Derobertis, LCSW, LLC is a healthcare organization based in Woodbridge, CT. Nicole Derobertis, LCSW, LLC practices in Woodbridge, CT. The NPI Number for Nicole Derobertis, LCSW, LLC is 1982077947 and holds a License No. 007800 (CT). The current practice location address for Nicole Derobertis, LCSW, LLC is 245 Amity RD Ste 209, Woodbridge, CT 06525-2274 and can be reached out via phone at 203-644-0557 and via fax at 203-504-7941.
Provider Profile Details
- NPI Number
- 1982077947
- Provider Name
- Nicole Derobertis, LCSW, LLC
- Provider Entity Type
- Organization
- Address
- 245 Amity RD Ste 209, Woodbridge, CT 06525-2274
- Phone Number
- 203-644-0557
- Fax Number
- 203-504-7941
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Nicole Derobertis, LCSW · Owner · 203-644-0557
- Provider Enumeration Date
- November 12, 2015
- 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
- Fax Number
- 203-504-7941
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
- Fax Number
- 203-504-7941
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 Derobertis, LCSW, LLC?
The NPI number of Nicole Derobertis, LCSW, LLC is 1982077947. It was assigned on November 12, 2015 and is currently active in the NPPES registry.
What is the specialty of Nicole Derobertis, LCSW, LLC?
Nicole Derobertis, LCSW, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 007800.
Where does Nicole Derobertis, LCSW, LLC practice?
The practice location is 245 Amity RD Ste 209, Woodbridge, CT 06525-2274. The office can be reached at 203-644-0557 (phone) or 203-504-7941 (fax).
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 1982077947 directly on the NPPES registry website.