Active NPI
Amy Dibernardo LCSW, PC
- Clinical Social Worker
- New York, NY
National Provider Identifier
1750895769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085962
- Legal business name
- AMY DIBERNARDO LCSW, PC
- Practice address
- 295 Madison Ave Ste Office7
New York, NY 10017-6434 - Phone
- (718) 938-0346
- NPI assigned
- Nov 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Dibernardo, LCSW
- Title
- President
- Phone
- (718) 938-0346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 085962 | NY | Primary |
Addresses
Primary practice location
295 Madison Ave Ste Office7
New York, NY 10017-6434
Mailing address
295 Madison Avenue
Suite 701, Office 7
New York, NY 10017
Phone (718) 938-0346
National Provider Directory
National Provider DirectoryLocations
295 Madison Ave
Ste 701
New York, NY 10017
295 Madison Ave
Ofc 7
New York, NY 10017
Phone (718) 938-0346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511913600000",
"number": "1750895769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 MADISON AVENUE",
"address_2": "SUITE 701, OFFICE 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "718-938-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 MADISON AVE STE OFFICE7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176434",
"telephone_number": "718-938-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY DIBERNARDO LCSW, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-29",
"last_updated": "2017-11-29",
"status": "A",
"authorized_official_last_name": "DIBERNARDO",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-938-0346",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.