Organization Active NPI

Amy Dibernardo LCSW, PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1750895769
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085962 Issued in NY
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

Updated by the provider on Nov 29, 2017

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.