Individual provider · Type 1 NPI

Joan Tibaldi, LCSW, BCD

Clinical Social Worker · St. Augustine, FL

NPI number 1053476473 Active

Practice location

612 Copperhead Cir
St. Augustine, FL 32092-2733

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XR20522 (NY)
Clinical Social Worker Primary 1041C0700XSW15600 (FL)

Clinical Social Worker: 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 interpers…

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About NPI 1053476473

Joan Tibaldi, LCSW, BCD's National Provider Identifier is 1053476473, issued on Dec 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Augustine, FL. The record was last updated on Oct 11, 2019.