Individual provider · Type 1 NPI

Nicole G. Derisi

Clinical Social Worker · Edison, NJ

NPI number 1831843010 Active · reactivated Jul 2, 2026

Practice location

2035 Lincoln Hwy Ste 1150
Edison, NJ 08817-3351

Call (866) 557-8669 Map

Mailing address

293 Colonia Blvd
Colonia, NJ 07067-3025

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRBT-21-198035 (NJ)

Clinical Social Worker: 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 interpers…

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About NPI 1831843010

Nicole G. Derisi's National Provider Identifier is 1831843010, issued on Feb 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edison, NJ. The record was last updated on Jul 6, 2026.