DOREEN DIBIASE, LCSW-R

Social Worker - Clinical

Active Individual
NPI: 1447350525

Practice Address

1000 MAIN ST
Port Jefferson, NY 11777

Phone: (631) 255-2700

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 001356 (NY)
Social Worker - Clinical 1041C0700X Yes 0548671 (NY)

Frequently Asked Questions

NPI 1447350525 is the National Provider Identifier for DOREEN DIBIASE, LCSW-R, a Social Worker - Clinical provider located in Port Jefferson, NY. This NPI was enumerated on September 25, 2006.
DOREEN DIBIASE, LCSW-R practices at 1000 MAIN ST, Port Jefferson, NY 11777.

Quick Facts

NPI
1447350525
Type
Individual
Enumerated
Sep 25, 2006
Last Updated
Sep 5, 2012

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