Individual provider · Type 1 NPI

Martin A. Derita, L.C.S.W., B.C.D.

Clinical Social Worker · Maitland, FL

NPI number 1114990397 Active

Practice location

235 S Maitland Ave, SUITE101
Maitland, FL 32751-5677

Call (407) 644-2121 Map

Fax (407) 644-2974

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X639 (FL)

Clinical Social Worker: 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 interpers…

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About NPI 1114990397

Martin A. Derita, L.C.S.W., B.C.D.'s National Provider Identifier is 1114990397, issued on Feb 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maitland, FL. The record was last updated on Feb 4, 2011.