Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Martin A Derita, LCSW, BCD

Individual provider Clinical Social Worker · NPI 1114990397

Mr. Martin A Derita, LCSW, BCD is a Clinical Social Worker in Maitland, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

235 S Maitland Ave SUITE101
Maitland, FL 32751-5677
Phone: (407) 644-2121
Fax: (407) 644-2974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 639 (FL)

Record details

NPI number1114990397
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , BCD
Sole proprietorNo
NPI enumeratedFebruary 9, 2006
Last updated in NPPESFebruary 4, 2011

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