| Nicole Derobertis, Lcsw, Llc | |
|
245 Amity Rd Ste 209 Woodbridge CT 06525-2274 | |
| (203) 644-0557 | |
| (203) 504-7941 |
| Full Name | Nicole Derobertis, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 245 Amity Rd Ste 209, Woodbridge, Connecticut |
| Authorized Official Name and Position | Nicole Derobertis (OWNER) |
| Authorized Official Contact | 2036440557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Derobertis, Lcsw, Llc 15a Indian Ridge Rd Yarmouth ME 04096-7135 Ph: (203) 644-0557 | Nicole Derobertis, Lcsw, Llc 245 Amity Rd Ste 209 Woodbridge CT 06525-2274 Ph: (203) 644-0557 |
| NPI Number | 1982077947 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 09/08/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982077947 | NPI | - | NPPES |
| 008062842 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007800 (Connecticut) | Primary |
Breakthrough Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Hazel Ter Ste 20, Woodbridge, CT 06525 Phone: 203-543-6406 | |
A Fresh Start Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Hazel Ter Ste K, Woodbridge, CT 06525 Phone: 203-572-1236 | |
My Father My Son Rehabilitation And Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 Amity Rd Ste 104, Woodbridge, CT 06525 Phone: 203-747-8689 Fax: 203-745-0493 | |
Kaydian Harrison Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30 Hazel Ter Ste A, Woodbridge, CT 06525 Phone: 203-836-0766 | |
Connecticut Psychiatric & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bradley Rd, 404, Woodbridge, CT 06525 Phone: 203-298-9005 | |
Harvey L. Ruben,md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Amity Rd, 130, Woodbridge, CT 06525 Phone: 203-397-0064 Fax: 203-397-3537 |