Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053476473 Individual Practitioner Female Practitioner

Joan Tibaldi , LCSW, BCD

Social Worker - Clinical • Saint Augustine, FL

Professional Overview & Biography Verified Profile Summary

Joan Tibaldi, LCSW, BCD is a registered healthcare professional specializing in Social Worker - Clinical in Saint Augustine, FL. Practice services are available at 612 COPPERHEAD CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

612 Copperhead Cir

Saint Augustine, FL 320922733

Telephone 9046794321

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Saint Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
32 Specialists

Practicing in Saint Augustine, FL (13861 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL SW15600

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License NY R20522

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ghi Provider #
37793 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 11, 2019

Registered at 612 COPPERHEAD CIR, SAINT AUGUSTINE, FL 320922733 (Tel: 9046794321)

📍
Updated Business Mailing Address October 11, 2019

Registered at 612 COPPERHEAD CIR, SAINT AUGUSTINE, FL 320922733 (Tel: 9046794321)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9 DAWES AVE, SYOSSET, NY 117914008 (Tel: 5164969651)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9 DAWES AVE, SYOSSET, NY 117914008 (Tel: 5164969651)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOAN TIBALDI, LCSW, BCD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #R20522 in NY)

🟢
Initial NPI Registration & Enumeration December 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053476473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2006
Last Update: October 11, 2019
Sole Proprietor: Yes

Mailing Address

612 Copperhead Cir

Saint Augustine, FL 320922733

Phone: 9046794321

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.