MS. JUDY ANNE PORTELLA-SELF MSWRNLCDPII NPI 1073676912

NPI Details

MS. Judy Anne Portella-self, MSW,RN,LCDPII is a clinical social worker in Providence, RI. The provider is 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. MS. Judy Anne Portella-self, MSW,RN,LCDPII NPI is 1073676912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 MEDWAY ST
PROVIDENCE, RI
ZIP 02906-401
Phone: (401) 454-5720
Fax: (401) 454-5722

The NPI 1073676912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: