Healthcare Provider Details

I. General information

NPI: 1639005218
Provider Name (Legal Business Name): DEMROB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 BEAUFORT AVE
NEEDHAM MA
02492-3802
US

IV. Provider business mailing address

32 BEAUFORT AVE
NEEDHAM MA
02492-3802
US

V. Phone/Fax

Practice location:
  • Phone: 401-216-9448
  • Fax:
Mailing address:
  • Phone: 401-216-9448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE K ROBERTSON
Title or Position: OWNER
Credential: LICSW
Phone: 401-216-9448