Diana Bastidas Vallejo, MSW, LCSW
Diana Bastidas Vallejo, MSW, LCSW is a Clinical Social Worker in Yulee, Florida. Qualified in 2020, 6 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 6
- Licensed in
- FL
- In the registry since
- 2024
- Specialties on file
- 5
What do these letters mean?
Practice location Address checks out
96028 Sweetbriar LnYulee, FL 32097-6018
Phone: (904) 649-1946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence SW23714 (FL) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence SW23714 (FL) |
| Professional Counselor | Taxonomy 101YP2500X · Licence SW23714 (FL) |
| Social Worker | Taxonomy 104100000X · Licence SW23714 (FL) |
| Psychoanalyst | Taxonomy 102L00000X · Licence SW23714 (FL) |
Record details
| NPI number | 1902629660 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSW , LCSW |
| Sole proprietor | Yes |
| NPI enumerated | November 1, 2024 |
| Last updated in NPPES | March 10, 2026 |
| Certification date | March 10, 2026 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Grow Healthcare Group Pa — 1020 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Yulee
-
Kerrie Albert
463142 State Road 200, Yulee, FL 32097-5554 · (904) 225-8280
-
Christine Baum, MS
463142 State Road 200, Yulee, FL 32097-5554 · (904) 225-8280
-
MS. Kyle K Bishop, LCPC, LMHC, LPC
389 Muhly Grass St, Yulee, FL 32097-0097 · (301) 481-9823
-
Crystal Bowen, LMHC
87003 Professional Way, Yulee, FL 32097-3400 · (904) 849-1190
-
Carissa Lynn Brede, LMHC
463142 State Road 200, Yulee, FL 32097-5554 · (904) 225-8280