| Carina Diez De Sollano, LCSW | |
|
13101 Sw 15th Ct Apt 411, Pembroke Pines, FL 33027-2415 | |
| (305) 338-6219 | |
| Not Available |
| Full Name | Carina Diez De Sollano |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 13101 Sw 15th Ct Apt 411, Pembroke Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215204433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW10225 (Florida) | Primary |
| Entity Name | Es Rehab Professional Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386948222 PECOS PAC ID: 0042446049 Enrollment ID: O20140306000503 |
| Entity Name | Mental Care Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154932457 PECOS PAC ID: 8224426234 Enrollment ID: O20211025001858 |
| Entity Name | Ydzm Business Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063086155 PECOS PAC ID: 8022405869 Enrollment ID: O20220427000048 |
| Entity Name | Green Evolution Service Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487411633 PECOS PAC ID: 7315483708 Enrollment ID: O20240722002555 |
| Entity Name | Life Balance Support Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770327454 PECOS PAC ID: 6800326471 Enrollment ID: O20250212000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Carina Diez De Sollano, LCSW 13101 Sw 15th Ct Apt 411, Pembroke Pines, FL 33027-2415 Ph: (305) 338-6219 | Carina Diez De Sollano, LCSW 13101 Sw 15th Ct Apt 411, Pembroke Pines, FL 33027-2415 Ph: (305) 338-6219 |