Derobertis, Nicole Marie

Derobertis, Nicole Marie is an individual health care provider with primary practice located at 245 Amity Rd Ste 209 , Woodbridge CT 06525-2274. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Derobertis, Nicole Marie can be contacted via phone (203) 644-0557.

Contact Information

Primary practice address
245 Amity Rd Ste 209 Woodbridge CT 06525-2274
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007800 Connecticut

Profile Details

NPI number 1235324567
LBN Legal business name Derobertis, Nicole Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Apr 24th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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