Diana Bastidas Vallejo, MSW, LCSW is a
Social Worker - Clinical based in Tallahassee, Florida. Diana Bastidas Vallejo is licensed to practice in Florida (license number SW23714) and her current practice location is
1713 Mahan Dr, Tallahassee, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 681-6001.
NPI number for Diana Bastidas Vallejo is 1902629660 and her current mailing address is 87061 Farnsworth Ln, Yulee, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902629660.
Healthcare Provider's Profile
Full Name | Diana Bastidas Vallejo |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1713 Mahan Dr, Tallahassee, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902629660
- Provider Enumeration Date: 11/01/2024
- Last Update Date: 11/01/2024
Medical Identifiers
Medical identifiers for Diana Bastidas Vallejo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902629660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | SW23714 (Florida) | Secondary |
101YP2500X | Counselor - Professional | SW23714 (Florida) | Secondary |
102L00000X | Psychoanalyst | SW23714 (Florida) | Secondary |
104100000X | Social Worker | SW23714 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW23714 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana Bastidas Vallejo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diana Bastidas Vallejo, MSW, LCSW 87061 Farnsworth Ln, Yulee, FL 32097-3606 Ph: () - | Diana Bastidas Vallejo, MSW, LCSW 1713 Mahan Dr, Tallahassee, FL 32308-1218 Ph: (850) 681-6001 |
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