Amy Dibernardo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085962 Issued in NY

Practice address

295 Madison Ave RM 707
New York, NY 10017-7764

Phone

(718) 938-0346

NPI assigned

Dec 11, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245638980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MADISON AVENUE",
            "address_2": "SUITE 707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177764",
            "telephone_number": "718-938-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MADISON AVE RM 707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177764",
            "telephone_number": "718-938-0346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Park Ave Fl 7",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165802",
            "country_code": "US",
            "telephone_number": "646-754-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBERNARDO",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085962",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Austin Dibble, M.D./M.B.A.
• Qurratul-Ayn Dibble, P.A.
• Gregory Scott Dibelius, M.D.
• Megan Marie Dibenedetto Young, FNP
• Geraldine Dibenedetto, M.A., L.C.S.W.
• Anthony Dibiase, MD
• Kathleen Dibiase, BSN, RN, CNOR, RNFA
• Annmarie Dibiasie, NNP
• Alaina Kassandra Diblasi, LMSW
• Robin Dibner, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.