MS. WENDY ELLEN MITA LCSW
NPI 1144477480
Social Worker - Clinical in Wellington, FL

Q: What is Wendy Mita's NPI number?

The NPI number for Wendy Mita is 1144477480. It was assigned to this individual provider in the NPPES registry on August 19, 2008. The provider is also known as Wendy Ellen Bloom Lcsw.

Q: What is Wendy Mita's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Mita was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 19, 2008

11120 S CROWN WAY STE 1, WELLINGTON, FL 33414(561) 790-1191 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Wendy Ellen Mita Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WENDY ELLEN MITA LCSW (NPI 1144477480) is an individual clinical provider in Wellington, Florida, licensed in Florida (SW11682) and active in the NPI registry since August 2008. She maintains a secondary practice location in Short Hills.

NPPES Registry Identity

NPI1144477480

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. WENDY ELLEN MITACredential: LCSW

Location Address11120 S CROWN WAY STE 1Wellington, FL 33414-8718

Mailing Address481 Hackensack AveHackensack, NJ 07601-6304 · (201) 488-6678 · Fax (201) 488-6224

Phone(561) 790-1191

Sole ProprietorYes

Enumeration DateAugust 19, 2008

Last NPPES UpdateSeptember 4, 2019

✔ NPI 1144477480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in FL · SW11682✔ Licensed in NJ · 44SC04931900

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

11120 S CROWN WAY STE 1, Wellington, FL 33414

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Other Names 1

Former Name (1)Wendy Ellen Bloom Lcsw

Secondary Practice Location 1

Location 151 John F Kennedy PkwyShort Hills, NJ 07078-2704 · Phone (201) 488-6678

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCIA GABRIELA THOMPSON

Social Worker (Clinical)