Black Womens Wellness LTD Liability Co

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLACK WOMENS WELLNESS LTD LIABILITY CO

Doing business as

Black Women's Wellness Co.

Practice address

377 Valley Rd Unit 2636
Clifton, NJ 07013-1319

Phone

(973) 419-5261

NPI assigned

Jan 16, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Courtney Mick, LCSWNPI 1609540269

Title

Owner

Phone

(973) 419-5261

Specialties & licenses 4

Addresses

Other names 1

• BLACK WOMEN'S WELLNESS CO. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney C Mick

  • Social Worker
  • Clifton, NJ
  • NPI 1609540269
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1790596880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD UNIT 2636",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 VALLEY RD UNIT 2636",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131319",
            "telephone_number": "973-419-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK WOMENS WELLNESS LTD LIABILITY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "MICK",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-419-5261",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLACK WOMEN'S WELLNESS CO.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Bienkiewicz, PT, DPT, ATC
• Christopher Bilbao, D.O.
• Jenna Bimbi
• Manuel G Binag Jr., PT
• Pat David Biondi, AU.D.
• Renato J Blanco, MD
• Natalia Agustina Blaustein, LAC
• Vera Blazevska
• Howard L Bleznick, R.PH.
• Bliss Community and Counseling Services LLC

• Clinical Social Worker in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.