Active NPI
Anne Ditiberio, LCSW, PPSC
- Clinical Social Worker
- Palo Alto, CA
National Provider Identifier
1770903502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60579
- Practice address
- 715 Colorado Ave
Suite a
Palo Alto, CA 94303-3907 - Phone
- (650) 207-6694
- NPI assigned
- Apr 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 60579 | CA | Primary |
Addresses
Primary practice location
715 Colorado Ave
Suite a
Palo Alto, CA 94303-3907
Mailing address
PO Box 60953
Palo Alto, CA 94306-0953
Phone (650) 207-6694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 14, 2025 through Nov 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60579 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397865600000",
"number": "1770903502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60953",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943060953",
"telephone_number": "650-207-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 COLORADO AVE",
"address_2": "SUITE A",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943033907",
"telephone_number": "650-207-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITIBERIO",
"first_name": "ANNE",
"credential": "LCSW, PPSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-19",
"last_updated": "2014-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "60579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.