Active NPI
Marlene Elaine Wellington, L.C.S.W.
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1033274360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2420
- Practice address
- 880 NE 69TH St Apt 5M
Miami, FL 33138-5748 - Phone
- (305) 756-6688
- Fax
- (305) 757-1718
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2420 | FL | Primary |
Addresses
Primary practice location
880 NE 69TH St Apt 5M
Miami, FL 33138-5748
Mailing address
880 NE 69TH St Apt 5M
Miami, FL 33138-5748
Phone (305) 756-6688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2420 | Other | FL | CLINICAL SOCIAL WORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2420 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033274360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 NE 69TH ST APT 5M",
"city": "MIAMI",
"state": "FL",
"postal_code": "331385748",
"telephone_number": "305-756-6688",
"fax_number": "305-757-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 NE 69TH ST APT 5M",
"city": "MIAMI",
"state": "FL",
"postal_code": "331385748",
"telephone_number": "305-756-6688",
"fax_number": "305-757-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLINGTON",
"first_name": "MARLENE",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "2420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORK",
"identifier": "2420",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.