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MRS. JOAN TIBALDI LCSW, BCD
NPI 1053476473
Social Worker - Clinical in Saint Augustine, FL

Active since December 26, 2006Opted out of Medicare · through Mar 23, 2028
612 COPPERHEAD CIR, SAINT AUGUSTINE, FL 32092(904) 679-4321 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Joan Tibaldi Lcsw, Bcd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JOAN TIBALDI LCSW, BCD (NPI 1053476473) is an individual clinical provider in Saint Augustine, Florida, licensed in Florida (SW15600) and active in the NPI registry since December 2006. She has opted out of Medicare through March 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053476473
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JOAN TIBALDICredential: LCSW, BCD
Location Address612 COPPERHEAD CIRSaint Augustine, FL 32092-2733
Mailing Address612 Copperhead CirSaint Augustine, FL 32092-2733 · (904) 679-4321
Phone(904) 679-4321
Sole ProprietorYes
Enumeration DateDecember 26, 2006
Last NPPES UpdateOctober 11, 2019
✔ NPI 1053476473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW15600✔ Licensed in NY · R20522
Definition
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.
612 COPPERHEAD CIR, Saint Augustine, FL 32092
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Other Identifiers 1

Other37793NY · Ghi Provider #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Joan Tibaldi Lcsw, Bcd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2014 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2014
Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joan Tibaldi's NPI number?

The NPI number for Joan Tibaldi is 1053476473. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Joan Tibaldi located?

Joan Tibaldi practices at 612 Copperhead Cir, Saint Augustine, FL 32092. The listed phone number is (904) 679-4321.

What is Joan Tibaldi's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Joan Tibaldi enrolled in Medicare?

No. Joan Tibaldi has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Joan Tibaldi was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.