Diliana Polanco, LCSW | |
4640 Lipscomb St Ne Ste 5, Palm Bay, FL 32905-2986 | |
(321) 343-6773 | |
Not Available |
Full Name | Diliana Polanco |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4640 Lipscomb St Ne Ste 5, Palm Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477018331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW15841 (Florida) | Primary |
Entity Name | Blue Dandelion Integrative Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801410170 PECOS PAC ID: 0941622831 Enrollment ID: O20200623001203 |
Entity Name | Blue Iris Behavioral Services Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023777935 PECOS PAC ID: 5395129209 Enrollment ID: O20220826000278 |
Mailing Address | Practice Location Address |
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Diliana Polanco, LCSW 4640 Lipscomb St Ne Ste 5, Palm Bay, FL 32905-2986 Ph: (786) 322-3783 | Diliana Polanco, LCSW 4640 Lipscomb St Ne Ste 5, Palm Bay, FL 32905-2986 Ph: (321) 343-6773 |
Vilmarie Roman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1071 Port Malabar Blvd Ne, N.e. Suite 106, Palm Bay, FL 32905 Phone: 787-632-0477 | |
Kevin Vincent Masturzo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4031 Dixie Hwy Ne, Palm Bay, FL 32905 Phone: 321-622-3222 | |
Jessica Singh, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1314 Port Malabar Blvd Ne, Palm Bay, FL 32905 Phone: 321-412-1301 | |
Breanne L Thomas, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1200 Alamanda Rd Ne, Palm Bay, FL 32905 Phone: 321-723-1055 | |
Franchesca Izquierdo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1498 Cindy Cir Ne, Palm Bay, FL 32905 Phone: 786-478-8483 | |
Kerstin Welch, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1501 Robert J Conlan Blvd Ne Ste 7, Palm Bay, FL 32905 Phone: 321-831-8006 | |
Laura Ciampa, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1028 Pine Creek Cir Ne, Palm Bay, FL 32905 Phone: 781-521-4002 |