Provider Demographics
NPI:1760780290
Name:WEST-ROY, DEIRDRE ANN (MSW)
Entity Type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:ANN
Last Name:WEST-ROY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5316 YACHT HAVEN GRANDE STE S-104
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-5027
Mailing Address - Country:US
Mailing Address - Phone:340-715-6463
Mailing Address - Fax:340-714-6499
Practice Address - Street 1:5316 YACHT HAVEN GRANDE STE S-104
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-5027
Practice Address - Country:US
Practice Address - Phone:340-715-6463
Practice Address - Fax:340-714-6499
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1137941041C0700X
VI0-37103-1B1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical