Provider Demographics
NPI:1609036607
Name:DIAZ-AMARAN, YOSVEL (MSW, MBA, LCSW)
Entity Type:Individual
Prefix:
First Name:YOSVEL
Middle Name:
Last Name:DIAZ-AMARAN
Suffix:
Gender:M
Credentials:MSW, MBA, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11851 SW 235TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6028
Mailing Address - Country:US
Mailing Address - Phone:786-953-3599
Mailing Address - Fax:
Practice Address - Street 1:11851 SW 235TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-6028
Practice Address - Country:US
Practice Address - Phone:786-953-3599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW19604104100000X
SW19604103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW19604OtherLCSW
FL019968300Medicaid
FL113591000Medicaid