Individual
CHRISTY ANN DEROLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
149 KEVIN RD, BROCKTON, MA 02302-1331
(857) 249-3348
Mailing address
149 KEVIN RD, BROCKTON, MA 02302-1331
(857) 249-3348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW2140872
MA
1041C0700X
Clinical Social Worker
Primary
LCSW2140872
MA
1041S0200X
School Social Worker
LCSW2140872
MA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/01/2022
Last updated
04/27/2026
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