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Contact Information

DIANA BASTIDAS VALLEJO, MSW, LCSW
96028 SWEETBRIAR LN
YULEE, FL32097-6018
 Phone: 904-649-1946
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Psychoanalyst

102L00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for DIANA BASTIDAS VALLEJO · (Female)

NPI # 1902629660
Status Active
Credentials MSW, LCSW
Entity Individual
Enumeration date 11/01/2024
Last updated 03/10/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SW23714
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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