AMANDA DIBIASE (NPI# 1174991681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174991681 |
| Entity Type | Individual |
| Full Name | AMANDA DIBIASE |
| Practice Address |
67 Shaker Rd Suite 7 Gray ME 04039-9640 |
| Practice Telephone | 2076577700 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MC14978 | ME | Behavioral Health & Social Service Providers |
| Street Address |
67 SHAKER RD SUITE 7 |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952334021 | Christopher Aaron Counseling Center LLC | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-07-09 |
| 1275923245 | Jeffrey Goodell | Behavioral Analyst | 67 Shaker Rd, Gray, ME 04039-9640 | 2015-01-29 |
| 1316297187 | Jessica Romanoff Burton | Counselor | 67 Shaker Rd, #7, Gray, ME 04039-9640 | 2012-09-19 |
| 1770839615 | Jeffrey Robert Duquette | Social Worker | 67 Shaker Rd, Gray, ME 04039-9640 | 2012-07-30 |
| 1730495094 | Christopher Aaron Counseling Center | Social Worker | 67 Shaker Rd, Ste. 7, Gray, ME 04039-9640 | 2010-08-25 |
| 1821325721 | Catherine E. Schwenk | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2009-11-13 |
| 1174763742 | Alison Lynn Catey | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2009-02-23 |
| 1467691105 | Helen Elaine Richardson | Counselor | 67 Shaker Rd, Gray, ME 04039-9640 | 2009-02-19 |
| 1386704344 | Wendy N. Kjeldgaard | Psychologist | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-12-11 |
| 1568533156 | Judith M Rice | Social Worker | 67 Shaker Rd, Suite 10, Gray, ME 04039-9640 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1992115976 | Caroline Bright | Social Worker | 31 Main St Ste 2, Gray, ME 04039-9452 | 2014-04-30 |
| 1639470974 | Amy L Ranco | Social Worker | 10 Libby Hill Rd, Gray New Gloucester High School, Gray, ME 04039-9712 | 2010-11-03 |
| 1992938468 | Melissa Jane Bowie | Social Worker | 15 Marshview Rd, Gray, ME 04039-9653 | 2009-08-31 |
| 1396975587 | Judith Colby-walker | Social Worker | 67 Shaker Rd Apt 7, Gray, ME 04039-9640 | 2009-07-22 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1952334021 | Christopher Aaron Counseling Center LLC | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-07-09 |
| 1407884216 | Mark R. Olson | Social Worker | 56 Charlonate Dr, Gray, ME 04039-9764 | 2006-06-29 |
| 1457318263 | Sandra J Hinckley | Social Worker | 67 Shaker Rd Ste 7, Christopher Aaron Counseling Center, Gray, ME 04072-1536 | 2006-04-26 |
| 1720527914 | Olivia Testa | Social Worker | 306 Shaker Rd, Gray, ME 04039-9674 | 2017-02-21 |
| Find all providers in GRAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.