Blue Dandelion Integrative Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE DANDELION INTEGRATIVE THERAPY, LLC

Practice address

6187 NW 167TH St Ste H26
Hialeah, FL 33015-4366

Phone

(321) 364-1218

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Diliana Polanco

Title

LCSW

Phone

(321) 364-1218

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1801410170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 W NEW HAVEN AVE # 646",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043661",
            "telephone_number": "321-364-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6187 NW 167TH ST STE H26",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154366",
            "telephone_number": "321-364-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DANDELION INTEGRATIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "DILIANA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "321-364-1218"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hialeah, FL
• Providers in Hialeah, 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 Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.