Diana Milena Salazar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12686 Issued in FL

Practice address

3575 Bonita Beach Rd Ste 102
Bonita Springs, FL 34134-4105

Phone

(239) 954-7722

Fax

(239) 443-4577

NPI assigned

Jun 5, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunshine State Counseling Center LLC

  • Community/Behavioral Health Agency
  • Fort Myers, FL
  • NPI 1699152553

  Mental Health

  Medicare reassignment NPD Authorized official
• Sunshine State Counseling Center, LLC

  • Clinical Social Worker
  • Bonita Springs, FL
  • NPI 1962855668
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1285995357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 BONITA BEACH RD STE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344105",
            "telephone_number": "239-954-7722",
            "fax_number": "239-443-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 BONITA BEACH RD STE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344105",
            "telephone_number": "239-954-7722",
            "fax_number": "239-443-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "DIANA",
        "middle_name": "MILENA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12686",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI",
            "identifier": "1699152553",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014047700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sage Dental of Bonita Springs, PLLC
• Patti Lynn Sages, DVM
• Maggie Saintjoy, COTA/L
• Eric Saitta
• Amanda Dawn Salazar, OTR/L
• Salem Homes of Florida, Inc.
• Salem Villages MRDD, Inc.
• Salt and Light Psychiatry
• Marie Angelie Espiritu Saltarin, P.T.
• Myles Rubin Samotin, M.D.

• Clinical Social Worker in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.