Active NPIIndividual providerSole proprietor

Amanda Dibiase

Social Worker, Clinical in Gray, Maine

NPI Number1174991681
Practice location
67 Shaker RD, Suite 7, Gray, ME 04039-9640
Fax
—
Last updated
September 14, 2015

Amanda Dibiase is a Social Worker, Clinical based in Gray, ME. Amanda Dibiase practices in Gray, ME. The NPI Number for Amanda Dibiase is 1174991681 and holds a License No. MC14978 (ME). The current practice location address for Amanda Dibiase is 67 Shaker RD, Suite 7, Gray, ME 04039-9640 and can be reached out via phone at 207-657-7700.

Provider Profile Details

NPI Number
1174991681
Provider Name
Amanda Dibiase
Provider Entity Type
Individual
Gender
Female
Address
67 Shaker RD, Suite 7, Gray, ME 04039-9640
Phone Number
207-657-7700
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 14, 2015
Last Update Date
September 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Shaker RD
Suite 7
Gray, ME 04039-9640
City
Gray
State
Maine
Zip
04039-9640
Phone Number
207-657-7700
Gray, ME 04039Get directions →

Provider Business Mailing Address Details

Address
67 Shaker RD
Suite 7
Gray, ME 04039-9640
City
Gray
State
ME
Zip
04039-9640

License Information

License Number
MC14978
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Dibiase?

The NPI number of Amanda Dibiase is 1174991681. It was assigned on September 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Amanda Dibiase?

Amanda Dibiase is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number MC14978.

Where does Amanda Dibiase practice?

The practice location is 67 Shaker RD, Suite 7, Gray, ME 04039-9640. The office can be reached at 207-657-7700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174991681 directly on the NPPES registry website.

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