Michael Dibernardo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2016018137 Issued in MO

Practice address

801 Rue Saint Francois St
Ste D
Florissant, MO 63031-4948

Phone

(314) 219-8883

NPI assigned

Jul 7, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Michael Dibernardo Therapy Solutions LLC

  • Clinic/Center
  • Florissant, MO
  • NPI 1558912246
  Medicare reassignment NPD Authorized official
• SSM Health Care St Louis

  dba SSM Health St Clare Fenton

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD
• SSM Health Care St. Louis

  dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lake St Louis, MO
  • NPI 1538113097
  NPD

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1568814044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 SAINT CATHERINE ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333410",
            "telephone_number": "425-791-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 RUE SAINT FRANCOIS ST",
            "address_2": "STE D",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314948",
            "telephone_number": "314-219-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBERNARDO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016018137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Fredrick Detrick, PH.D.
• Devine Care Consumer Direct Services,LLC
• Devoted Transportation LLC
• Byron B Devrouax, MS, MSW, LCSW
• Diamond Consumer Directed Services, LLC.
• Dierbergs Markets Inc (Dierbergs Clocktower Pharmacy)
• Dierbergs Markets Inc (Dierbergs Florissant Pharmacy)
• Shellita Dillon
• Danielle Dinkins
• Direct Care Health Services LLC

• Clinical Social Worker in Florissant, MO
• Providers in Florissant, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.