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AMANDA DIBIASE
NPI 1174991681
Social Worker - Clinical in Gray, ME

Active since September 14, 2015PECOS Enrolled
67 SHAKER RD, SUITE 7, GRAY, ME 04039(207) 657-7700 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Dibiase NPPES

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

AMANDA DIBIASE (NPI 1174991681) is an individual clinical provider in Gray, Maine, licensed in Maine (MC14978) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174991681
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA DIBIASE
Location Address67 SHAKER RD, SUITE 7Gray, ME 04039-9640
Mailing Address67 Shaker Rd, Suite 7Gray, ME 04039-9640
Phone(207) 657-7700
Sole ProprietorYes
Enumeration DateSeptember 14, 2015
✔ NPI 1174991681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · MC14978
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.
67 SHAKER RD, Gray, ME 04039
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Dibiase is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Dibiase reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spurwink Services Incorporated
17 mi
Mental Health (Including Community Mental Health Center)
62 ELM ST
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 162 clinicians in this Medicare group
NPI 1760507297 (207) 773-7811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04039 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY GOODELL
Behavior Analyst
67 SHAKER RD
GRAY, ME 04039
Cumberland County (207) 657-7700
HELEN ELAINE RICHARDSON LCSW
Counselor (Mental Health)
67 SHAKER RD
GRAY, ME 04039
Cumberland County (207) 657-7700
MS. JUDITH M RICE LCSW
Social Worker (Clinical)
67 SHAKER RD, SUITE 10
GRAY, ME 04039
Cumberland County (207) 657-5344
LAWRENCE LEEMAN LCSW
Social Worker (Clinical)
67 SHAKER RD, SUITE 7
GRAY, ME 04039
Cumberland County (207) 657-7700
MARY LOU MCMANUS-RICHTER LCPC
Counselor (Professional)
67 SHAKER RD
GRAY, ME 04039
Cumberland County (207) 712-6131
CHRISTOPHER AARON COUNSELING CENTER
Social Worker
67 SHAKER RD, STE. 7
GRAY, ME 04039
Cumberland County (207) 657-7700
JEFFREY ROBERT DUQUETTE
Social Worker (Clinical)
67 SHAKER RD
GRAY, ME 04039
Cumberland County (207) 657-7700
DR. CAROL LEE LEONARD PHD
Psychologist (Counseling)
67 SHAKER RD
GRAY, ME 04039
Cumberland County (207) 653-4517

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 Amanda Dibiase's NPI number?

The NPI number for Amanda Dibiase is 1174991681. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Amanda Dibiase located?

Amanda Dibiase practices at 67 Shaker Rd Suite 7, Gray, ME 04039. The listed phone number is (207) 657-7700.

What is Amanda Dibiase's specialty?

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

Is Amanda Dibiase enrolled in Medicare?

Yes. Amanda Dibiase is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Dibiase's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dibiase reassigns Medicare benefits to Spurwink Services Incorporated (Portland, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Dibiase's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Dibiase was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.