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NICOLE DEROBERTIS, LCSW, LLC
NPI 1982077947
Social Worker - Clinical in Woodbridge, CT

Active since November 12, 2015
245 AMITY RD STE 209, WOODBRIDGE, CT 06525(203) 644-0557(203) 504-7941 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2024, Apr 24, 2024, Jan 11, 2016 and 1 more (4 updates tracked since 2015).

About Nicole Derobertis, Lcsw, Llc NPPES

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

NICOLE DEROBERTIS, LCSW, LLC (NPI 1982077947) is a healthcare organization registered as a clinical in Woodbridge, Connecticut and active in the NPI registry since November 2015. The organization maintains a secondary practice location in Portland and lists Nicole Derobertis, Owner, as its authorized official.

NPPES Registry Identity

NPI1982077947
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNICOLE DEROBERTIS, LCSW, LLC
Location Address245 AMITY RD STE 209Woodbridge, CT 06525-2274
Mailing Address15a Indian Ridge RdYarmouth, ME 04096-7135 · (203) 644-0557 · Fax (203) 504-7941
Phone(203) 644-0557
Fax(203) 504-7941
Organization SubpartNo
Authorized OfficialNicole DerobertisOwner · (203) 644-0557
Enumeration DateNovember 12, 2015
Last NPPES UpdateSeptember 8, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2024
✔ NPI 1982077947 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 CT · 007800
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.
245 AMITY RD STE 209, Woodbridge, CT 06525
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Secondary Practice Location 1

Location 157 Exchange St Ste 403Portland, ME 04101-5000 · Phone (203) 644-0557

Other Identifiers 1

Medicaid008062842CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

NICOLE MARIE DEROBERTIS LCSW
Social Worker (Clinical)
245 AMITY RD STE 209
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 644-0557

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 Nicole Derobertis, Lcsw, LLC's NPI number?

The NPI number for Nicole Derobertis, Lcsw, LLC is 1982077947. It was assigned to this organization in the NPPES registry on November 12, 2015.

Where is Nicole Derobertis, Lcsw, LLC located?

Nicole Derobertis, Lcsw, LLC is located at 245 Amity Rd Ste 209, Woodbridge, CT 06525. The listed phone number is (203) 644-0557.

What is Nicole Derobertis, Lcsw, LLC'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 Nicole Derobertis, Lcsw, LLC was last updated on September 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.