Nicole Marie Derobertis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007800 Issued in CT

Practice address

245 Amity Rd Ste 209
Woodbridge, CT 06525-2274

Phone

(203) 644-0557

NPI assigned

Sep 10, 2007

Last updated

Sep 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.derobertis@ctproviderdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicole Derobertis, LCSW, LLC

  • Clinical Social Worker
  • Woodbridge, CT
  • NPI 1982077947
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1235324567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15A INDIAN RIDGE RD",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967135",
            "telephone_number": "203-644-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 AMITY RD STE 209",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252274",
            "telephone_number": "203-644-0557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Exchange St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041015000",
            "country_code": "US",
            "telephone_number": "203-644-0557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROBERTIS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayspring Therapeutic Group LLC (Dayspring Therapeutic Group)
• Sharon Dru De Kadt, NATUROPATHIC PHYSICI
• Leanne Anissa Delgado, LPC
• John Delizio, PH.D.
• Michael M Demetriades, PT
• Nicholas Despoelberch, LPC
• Daron Dey
• Ava L Diamond, LCSW
• Dianon Systems Inc
• Jennifer Dinallo, LMFT

• Clinical Social Worker in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.