Provider Demographics
NPI:1629443098
Name:TIBURCIO, DHESIAY SILVIA (LCSW)
Entity type:Individual
Prefix:MISS
First Name:DHESIAY
Middle Name:SILVIA
Last Name:TIBURCIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1268 CLAY AVE
Mailing Address - Street 2:APT 3A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-3339
Mailing Address - Country:US
Mailing Address - Phone:347-360-9185
Mailing Address - Fax:
Practice Address - Street 1:1268 CLAY AVE
Practice Address - Street 2:APT 3A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3339
Practice Address - Country:US
Practice Address - Phone:347-360-9185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-10
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY09143701104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker