SearchRhode IslandClinical Social Worker

Judy Portella-Self, MSW,RN,LCDPII

NPI 1073676912 · on the registry since 2006 · sole proprietor

Practice

Address
105 Medway St
Providence, RI 02906
Phone
(401) 454-5720
Fax
(401) 454-5722
Clinicians at this address
5

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island