NICOLE DEROBERTIS, LCSW, LLC


Address: 1 Bradley Rd, Suite 707, Woodbridge, CT 06525-2285
Phone: 2036440557

NICOLE DEROBERTIS, LCSW, LLC (NPI# 1982077947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982077947
Entity Type Organization
Organization Name NICOLE DEROBERTIS, LCSW, LLC
Practice Address 1 Bradley Rd
Suite 707
Woodbridge
CT 06525-2285
Practice Telephone 2036440557
Practice Fax Number 2035047941
Mailing Telephone 2036440557
Mailing Fax Number 2035047941
Enumeration Date 2015-11-12
Last Update Date 2016-12-05
Authorized Official Name NICOLE DEROBERTIS (OWNER)
Authorized Official Telephone 2036440557
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
007800 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 008062842 05

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations NICOLE DEROBERTIS, LCSW, LLC 1 Bradley Road, Ste 707, Woodbridge, CT 06525

Office Location

Street Address 1 BRADLEY RD
SUITE 707
City WOODBRIDGE
State CT
Zip Code 06525-2285

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NPI Name Taxonomy Address Enumeration
1366441826 William N Schreiber Internal Medicine 1 Bradley Rd, Suite 709, Woodbridge, CT 06525-2285 2005-07-18
1457803934 Stacy Mantel Counselor 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 2016-10-31
1811354053 Shannon Webb Physical Medicine & Rehabilitation 1 Bradley Rd, Ste 801, Woodbridge, CT 06525-2285 2016-01-19
1821462375 Lorraine Byam Counselor 1 Bradley Rd, Suite 404, Woodbridge, CT 06525-2285 2015-11-20
1811370125 Monica A. Starr, Aprn, LLC Nurse Practitioner 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 2015-07-06
1568843183 Claudia-santi Ferrante Fernandes Counselor 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 2015-06-10
1174902084 Connecticut Psychiatric & Wellness Center Community/Behavioral Health 1 Bradley Rd, 404, Woodbridge, CT 06525-2285 2015-05-26
1225443708 Ashley Donovan Social Worker 1 Bradley Rd, 905, Woodbridge, CT 06525-2285 2014-06-24
1205176856 Connecticut Orthopaedic Specialists, PC Neurological Surgery 1 Bradley Rd, Unit 501-502, Woodbridge, CT 06525-2285 2013-02-19
1265784607 Beverley Charmaine Phillips-lewis Social Worker 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 2012-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649838822 Arcadian Counseling, LLC Counselor 176 Amity Rd # 283, Woodbridge, CT 06525 2019-06-03
1538604566 Susan G Israel Psychiatry & Neurology 18 Carriage Hill Road, Woodbridge, CT 06525 2016-12-29
1417409947 Personal Care Training LLC Home Health 30 Hazel Terace #7, Woodbridge, CT 06525 2016-11-01
1538506324 James A Killian Counselor 1 Bradley Rd Ste 106, Woodbridge, CT 06525 2013-06-03
1154666063 Julie M Charron Physical Therapy Assistant 5 Spring Valley Rd, Woodbridge, CT 06525 2012-12-04
1780931022 Edward David Martino Dentist 1674 Litchfield Turnpike, Woodbridge, CT 06525 2012-08-06
1972864627 Sandra Boltax-stern, Md, PC Psychiatry & Neurology 78 Ansonia Road, Woodbridge, CT 06525 2012-05-30
1629383906 Innovative Healthcare Exclusive Provider Organization 555 Amity Rd., Woodbridge, CT 06525 2010-08-11
1437300225 Carl B. Lundborg Orthopaedic Surgery 4 Fox Hill Rd, Woodbridge, CT 06525 2008-10-10
1033366067 Richard Eubanks Fearon Internal Medicine 20 Brook Rd, Woodbridge, CT 06525 2008-08-21
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518568518 Ruth Ilboudo Social Worker 15732 John Diskin Cir, Woodbridge, VA 22191-6550 2020-11-05
1801409123 Angel Bartlett Social Worker 2357 Brookmoor Ln, Woodbridge, VA 22191-4083 2020-08-26
1306308234 Emily Manza Social Worker 16012 Indus Dr, Woodbridge, VA 22191-4336 2019-04-01
1053885707 Shatiera Monique Amankrah Social Worker 3733 Hetten Ln, Woodbridge, VA 22193-1048 2019-01-16
1922576099 Paula Dorman Social Worker 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 2018-11-07
1417444910 Mallory Grimste LLC Social Worker 30 Hazel Ter Ste 12, Woodbridge, CT 06525-2240 2018-04-19
1003315391 Sage Community Counseling LLC Social Worker 2239b Tacketts Mill Dr, Woodbridge, VA 22192-3026 2018-02-02
1568902765 Tabitha Mann Social Worker 12191 Cardamom Dr, Woodbridge, VA 22192-1448 2017-03-07
1184169765 Mahogany Lacour Social Worker 4197 Windflower Ct, Woodbridge, VA 22193-5100 2017-01-05
1932655354 Kayla Marie Lucas Social Worker 1 Bradley Rd Ste 404405, Woodbridge, CT 06525-2285 2016-08-26
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Competitor

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City WOODBRIDGE
Zip Code 06525

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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