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Corrie E Dibello

Social Worker

Behavioral Health & Social Service Providers

8725 136th St, Richmond Hill, NY 11418-1924

PECOS Enrollment

This provider is enrolled in PECOS as CORRIE DIBELLO.

Based on the most recent information from CMS, provider Corrie E Dibello is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1972260164
Provider Type
Individual
Full Name
Dibello, Corrie E
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/22/2021
Last Updated
12/7/2021

Contact Information

Practice Location

8725 136th St, Richmond Hill, NY 11418-1924

(718) 291-2807

Unlisted Fax

Mailing Location

630 W 170th St Apt Gg, New York, NY 10032-3515

(315) 546-3727

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 092255 New York

Corrie E Dibello

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Guelbart, Noelle L

Smith, Reginald J.

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Jacobs, Karen

Burgos, Nancy Lynn

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