Individual provider · Type 1 NPI
Diana Bastidas Vallejo, MSW, LCSW
Clinical Social Worker · Yulee, FL
Practice location
96028 Sweetbriar Ln
Yulee, FL 32097-6018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | SW23714 (FL) |
| Professional Counselor | 101YP2500X | SW23714 (FL) |
| Clinical Social Worker Primary | 1041C0700X | SW23714 (FL) |
| Social Worker | 104100000X | SW23714 (FL) |
| Psychoanalyst | 102L00000X | SW23714 (FL) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1902629660
Diana Bastidas Vallejo, MSW, LCSW's National Provider Identifier is 1902629660, issued on Nov 1, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Yulee, FL. The record was last updated on Mar 10, 2026.