Individual
MS. DIANE J. DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909-5422
(239) 910-8941
Mailing address
2628 EXECUTIVE DR APT 5311, VENICE, FL 34292-2598
(712) 422-0156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16056
FL
Other
Enumeration date
11/05/2017
Last updated
09/12/2025
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