Ms Judy Anne Portella-self, MSW,RN,LCDPII in Providence, RI

Ms Judy Anne Portella-self, MSW,RN,LCDPII is a medicare enrolled "Social Worker - Clinical" provider in Providence, Rhode Island. Her current practice location is 105 Medway St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 454-5720.

Ms Judy Anne Portella-self is licensed to practice in Rhode Island (license number ISW00871) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073676912.

Contact Information

	Ms Judy Anne Portella-self, MSW,RN,LCDPII
	105 Medway St, Providence, RI 02906-4401
	(401) 454-5720
	(401) 454-5722

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Judy Anne Portella-self
Gender	Female
Speciality	Social Worker - Clinical
Location	105 Medway St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073676912
Provider Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4082963806
Enrollment ID: I20180827003291

Medical Identifiers

Medical identifiers for Ms Judy Anne Portella-self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073676912	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW00871 (Rhode Island)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Judy Anne Portella-self is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Judy Anne Portella-self, MSW,RN,LCDPII 105 Medway St, Providence, RI 02906-4401 Ph: (401) 454-5720	Ms Judy Anne Portella-self, MSW,RN,LCDPII 105 Medway St, Providence, RI 02906-4401 Ph: (401) 454-5720

Reviews and Comments

Social Worker in Providence, RI

Kelly Baraf, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Pavilion Ave, Suite 105, Providence, RI 02905 Phone: 401-490-8900 Fax: 401-490-2619
Margarita Caballero-snyder, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Hope St, Providence, RI 02906 Phone: 401-331-1350 Fax: 401-277-3366
Amanda Baldaro, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 593 Eddy St., Providence, RI 02903 Phone: 401-444-4179
Emily Myer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 434 Mount Pleasant Ave, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421
Robert B Hagberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 153 Summer St, Providence, RI 02903 Phone: 401-276-4300 Fax: 041-331-3285
Ms. Christina Stang, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Hollywood Rd, Providence, RI 02909 Phone: 860-966-3171
Elizabeth Sevin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-723-7100

Ms Judy Anne Portella-self, MSW,RN,LCDPII - Medicare Clinical Social Worker in Providence, RI