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Joan Tibaldi, LCSW, BCD

NPI 1053476473ActiveIndividual· Social Worker, Clinical· Saint Augustine, FL

Opted out of Medicare from March 2014 to March 2028. Social Worker, Clinical (LCSW, BCD) in Saint Augustine, Florida, licensed in FL and NY, with an NPI issued in December 2006.

Overview

NPI1053476473
StatusActive
Entity typeIndividual
CredentialLCSW, BCD
Sole proprietorYes
NPI issuedDec 26, 2006
Last updated in NPPESOct 11, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700XSW15600FL
Social Worker, Clinical1041C0700XR20522NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Mar 23, 2014 – Mar 23, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Other clinical social workers in Saint Augustine

All 38 clinical social workers in Saint Augustine · All clinical social workers in Florida