Amanda Dibiase

Clinical Social Worker · Gray, ME

Individual Active NPI

NPI number 1174991681

Practice location

67 Shaker Rd
Suite 7
Gray, ME 04039-9640
Phone
(207) 657-7700

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NPI record

NPI
1174991681
Entity type
Individual (Type 1)
Enumeration date
September 14, 2015
Last updated
September 14, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X MC14978 ME

About Amanda Dibiase

Amanda Dibiase is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 67 Shaker Rd, Suite 7, Gray, ME 04039-9640. The NPI number 1174991681 was assigned on September 14, 2015 and the record was last updated on September 14, 2015.

Amanda Dibiase lists a license in the registry: #MC14978 (ME) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Dibiase?

The NPI number is 1174991681.

What is the phone number of Amanda Dibiase?

The phone number listed for the practice location is (207) 657-7700.

Where is Amanda Dibiase located?

67 Shaker Rd, Suite 7, Gray, ME 04039-9640.

What is the taxonomy code for Amanda Dibiase?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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