Active NPIIndividual provider

Mrs. Allison M Dibiaso, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1336274653
Practice location
Zero Governors Ave, Suite 20 Medford Associates In Mental Health, Medford, MA 02155
Fax
—
Last updated
July 8, 2007

Allison M Dibiaso is a Social Worker, Clinical based in Medford, MA. Allison M Dibiaso practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Allison M Dibiaso is 1336274653 and holds a License No. 110192 (MA). The current practice location address for Allison M Dibiaso is Zero Governors Ave, Suite 20 Medford Associates In Mental Health, Medford, MA 02155 and can be reached out via phone at 781-396-5575.

Provider Profile Details

NPI Number
1336274653
Provider Name
Allison M Dibiaso
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
Zero Governors Ave, Suite 20 Medford Associates In Mental Health, Medford, MA 02155
Phone Number
781-396-5575
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Zero Governors Ave
Suite 20 Medford Associates In Mental Health
Medford, MA 02155
Zip
02155
Phone Number
781-396-5575
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
Po Box 791
Zero Governors Ave Suite 20
Medford, MA 02155
City
Medford
State
MA
Zip
02155
Phone Number
781-396-5575

License Information

License Number
110192
License State
MA
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 Mrs. Allison M Dibiaso, LICSW?

The NPI number of Mrs. Allison M Dibiaso, LICSW is 1336274653. It was assigned on February 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Allison M Dibiaso, LICSW?

Mrs. Allison M Dibiaso, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110192.

Where does Mrs. Allison M Dibiaso, LICSW practice?

The practice location is Zero Governors Ave, Suite 20 Medford Associates In Mental Health, Medford, MA 02155. The office can be reached at 781-396-5575 (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 1336274653 directly on the NPPES registry website.

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