Doreen Dibiase, LCSW-R is a
Social Worker - Clinical based in Port Jefferson, New York. Doreen Dibiase is licensed to practice in New York (license number 0548671) and her current practice location is
1000 Main St, Port Jefferson, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 255-2700.
NPI number for Doreen Dibiase is 1447350525 and her current mailing address is 1 Village Manor Ct, Port Jefferson, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447350525.
Healthcare Provider's Profile
Full Name | Doreen Dibiase |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1000 Main St, Port Jefferson, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447350525
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 09/05/2012
Medical Identifiers
Medical identifiers for Doreen Dibiase such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447350525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 001356 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 0548671 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Doreen Dibiase is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Doreen Dibiase, LCSW-R 1 Village Manor Ct, Port Jefferson, NY 11777-2501 Ph: (631) 255-2700 | Doreen Dibiase, LCSW-R 1000 Main St, Port Jefferson, NY 11777-2250 Ph: (631) 255-2700 |
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