Search › Florida › 1041C0700X

Diana Bastidas Vallejo, MSW, LCSW

NPI 1902629660 · on the registry since 2024 · sole proprietor

Practice

Address
96028 Sweetbriar Ln
Yulee, FL 32097
Phone
(904) 649-1946

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
101YP2500X
104100000X
102L00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida