Active NPI
Allison M Dibiaso, LICSW
- Clinical Social Worker
- Medford, MA
National Provider Identifier
1336274653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110192
- Practice address
- Zero Governors Ave
Suite 20 Medford Associates in Mental Health
Medford, MA 02155 - Phone
- (781) 396-5575
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110192 | MA | Primary |
Addresses
Primary practice location
Zero Governors Ave
Suite 20 Medford Associates in Mental Health
Medford, MA 02155
Mailing address
PO Box 791
Zero Governors Ave Suite 20
Medford, MA 02155
Phone (781) 396-5575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110192 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine M. Tsarouhas | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Medford, MA
- NPI 1295923605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336274653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791",
"address_2": "ZERO GOVERNORS AVE SUITE 20",
"city": "MEDFORD",
"state": "MA",
"postal_code": "02155",
"telephone_number": "781-396-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ZERO GOVERNORS AVE",
"address_2": "SUITE 20 MEDFORD ASSOCIATES IN MENTAL HEALTH",
"city": "MEDFORD",
"state": "MA",
"postal_code": "02155",
"telephone_number": "781-396-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBIASO",
"first_name": "ALLISON",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.