Nicole Michele Dibiase, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092218 Issued in NY

Practice address

532 Forest Ave
Massapequa, NY 11758-4804

Phone

(201) 578-7663

NPI assigned

Feb 28, 2020

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dibiase Counseling LCSW, P.C.

  • Clinical Social Worker
  • Massapequa, NY
  • NPI 1558125419
  NPD Authorized official
• Lauren Miceli Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Commack, NY
  • NPI 1487358347
  NPD (past)

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1437783305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 FOREST AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 FOREST AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584804",
            "telephone_number": "201-578-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBIASE",
        "first_name": "NICOLE",
        "middle_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aicha Diagne
• Joseph Dias, DPT, CSCS, CKTP
• Danielle Diaz
• Jeanine Diaz
• Dibiase Counseling LCSW, P.C.
• Dina Dicicco Murray
• Lindsay Dickinson, DPT
• Christina Lucille Diffley
• Annmarie Digennaro, MS, ED.
• Digital Heralds LLC

• Clinical Social Worker in Massapequa, NY
• Providers in Massapequa, 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 Oct 22, 2021; 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.