IndividualActive
Amanda Dibiase
NPI 1174991681 · Clinical Social Worker · Gray, ME
Provider details
- NPI number
- 1174991681
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MC14978 (ME)
Mailing address
67 Shaker Rd
Gray, ME 04039-9640
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2015-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.