MS. JUDY ANNE PORTELLA-SELF MSW,RN,LCDPII
NPI 1073676912
Social Worker - Clinical in Providence, RI

Active since December 19, 2006
105 MEDWAY ST, PROVIDENCE, RI 02906(401) 454-5720(401) 454-5722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Judy Anne Portella-self Msw,rn,lcdpii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JUDY ANNE PORTELLA-SELF MSW,RN,LCDPII (NPI 1073676912) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW00871) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1073676912
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JUDY ANNE PORTELLA-SELFCredential: MSW,RN,LCDPII
Location Address105 MEDWAY STProvidence, RI 02906-4401
Mailing Address105 Medway StProvidence, RI 02906-4401 · (401) 454-5720 · Fax (401) 454-5722
Fax(401) 454-5722
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073676912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in RI · ISW00871
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.
105 MEDWAY ST, Providence, RI 02906

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
105 MEDWAY ST
PROVIDENCE, RI 02906
Social Worker (Clinical)
105 MEDWAY ST
PROVIDENCE, RI 02906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Portella-self's NPI number?

The NPI number for Judy Portella-self is 1073676912. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Judy Portella-self located?

Judy Portella-self practices at 105 Medway St, Providence, RI 02906. The listed phone number is (401) 454-5720.

What is Judy Portella-self's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Judy Portella-self was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.