Dibernardo, Jennifer

Dibernardo, Jennifer is an sole proprietor health care provider with primary practice located at 1601 Ne Braille Pl , Jensen Beach FL 34957-5345. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dibernardo, Jennifer can be contacted via phone (772) 320-0770.

Contact Information

Primary practice address
1601 Ne Braille Pl Jensen Beach FL 34957-5345
Phone: (772) 320-0770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780122267
LBN Legal business name Dibernardo, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780122267 NPPES
Florida MEDICAID 59-1051699
Florida MEDICAID 65-0789152

Popular Providers