Nicole Derobertis, Lcsw, Llc

LBN: Nicole Derobertis, Lcsw, Llc
Nicole Derobertis, Lcsw, Llc is an health care organization with primary practice located at 245 Amity Rd Ste 209 , Woodbridge CT 06525-2274. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Nicole Derobertis, Lcsw, Llc can be contacted via phone (203) 644-0557, or through Derobertis, Nicole via phone (203) 644-0557.

Contact Information

Primary practice address
245 Amity Rd Ste 209 Woodbridge CT 06525-2274
Phone: (203) 644-0557
Fax: (203) 504-7941
Website:
Map and Directions
Authorized official contact:
Name: Derobertis, Nicole Licensed Clinical Social Worker (LCSW)
Phone: (203) 644-0557

Health care specialties

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

Profile Details

NPI number 1982077947
LBN Legal business name Nicole Derobertis, Lcsw, Llc
DBA Doing business as
Authorized official Derobertis, Nicole Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2015
Last updated Apr 24th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982077947 NPPES
Connecticut MEDICAID 008062842

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