Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Judy Anne Portella-Self, MSW, RN, LCDPII

Individual provider Clinical Social Worker · NPI 1073676912

MS. Judy Anne Portella-Self, MSW, RN, LCDPII is a Clinical Social Worker in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

105 Medway St
Providence, RI 02906-4401
Phone: (401) 454-5720
Fax: (401) 454-5722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW00871 (RI)

Record details

NPI number1073676912
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , RN , LCDPII
Sole proprietorYes
NPI enumeratedDecember 19, 2006
Last updated in NPPESJuly 8, 2007

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