Active NPIIndividual providerSole proprietor

Jenifer L Dibble, MSW LICSW CYT

Social Worker, Clinical in South Dennis, Massachusetts

NPI Number1619392495
Practice location
708 Route 134, South Dennis, MA 02660-3062
Fax
—
Last updated
June 16, 2021

Jenifer Leah Dibble is a Social Worker, Clinical based in South Dennis, MA. Jenifer Leah Dibble practices in South Dennis, MA and has the professional credentials of MSW LICSW CYT. The NPI Number for Jenifer Leah Dibble is 1619392495 and holds a License No. 217091 (MA). The current practice location address for Jenifer Leah Dibble is 708 Route 134, South Dennis, MA 02660-3062 and can be reached out via phone at 774-316-3011.

Provider Profile Details

NPI Number
1619392495
Provider Name
Jenifer Leah Dibble
Credential
MSW LICSW CYT
Provider Entity Type
Individual
Gender
Female
Address
708 Route 134, South Dennis, MA 02660-3062
Phone Number
774-316-3011
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 3, 2014
Last Update Date
June 16, 2021
Certification Date
June 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
708 Route 134
South Dennis, MA 02660-3062
Zip
02660-3062
Phone Number
774-316-3011
South Dennis, MA 02660Get directions →

Provider Business Mailing Address Details

Address
708 Route 134
South Dennis, MA 02660-3062
City
South Dennis
State
MA
Zip
02660-3062
Phone Number
774-316-3011

License Information

License Number
217091
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 Jenifer L Dibble, MSW LICSW CYT?

The NPI number of Jenifer L Dibble, MSW LICSW CYT is 1619392495. It was assigned on March 3, 2014 and is currently active in the NPPES registry.

What is the specialty of Jenifer L Dibble, MSW LICSW CYT?

Jenifer L Dibble, MSW LICSW CYT is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 217091.

Where does Jenifer L Dibble, MSW LICSW CYT practice?

The practice location is 708 Route 134, South Dennis, MA 02660-3062. The office can be reached at 774-316-3011 (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 1619392495 directly on the NPPES registry website.

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