Joan Tibaldi is a Clinical in Saint Augustine, Florida. Joan Tibaldi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan Tibaldi is 1053476473. The last update date is 2019-10-11.
Joan Tibaldi's current location address is 612 Copperhead Cir, Saint Augustine, Florida. You can contact this provider via phone number 9046794321. The mailing address for Joan Tibaldi is 612 Copperhead Cir, Saint Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Tibaldi |
|---|---|
| Address | 612 Copperhead Cir, Saint Augustine, Florida |
| Phone Number | 9046794321 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, BCD |
NPI Number Detail
| NPI Number | 1053476473 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2019-10-11 |
Provider Mailing Address Detail
| Address | 612 Copperhead Cir |
|---|---|
| City | Saint Augustine |
| State | Florida (FL) |
| Post Code | 320922733 |
| Phone Number | 9046794321 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R20522 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37793 | NY | GHI PROVIDER # |
Post Comment/ Review Below
What is the unique identifier code issued to Joan Tibaldi by the Centers for Medicare & Medicaid Services (CMS)?
The Joan Tibaldi has been assigned the NPI (National Provider Identifier) 1053476473. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Joan Tibaldi's facilities are situated?
The facilities of Joan Tibaldi are physically located at the following address: 612 Copperhead Cir, Saint Augustine, FL, 320922733.
What is Joan Tibaldi's area of expertise and its corresponding taxonomy classification?
The Joan Tibaldi's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Joan Tibaldi receive its 1053476473 assignment?
The Joan Tibaldi was assigned its 1053476473 on 2006-12-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Joan Tibaldi most recently updated or revised?
The information pertaining to Joan Tibaldi, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-11.
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