Provider Demographics
NPI:1568002293
Name:VITOVITZ, LUDMILIA NAOMI (BSW)
Entity type:Individual
Prefix:
First Name:LUDMILIA
Middle Name:NAOMI
Last Name:VITOVITZ
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 9TH AVE APT 37
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1250
Mailing Address - Country:US
Mailing Address - Phone:206-883-1590
Mailing Address - Fax:
Practice Address - Street 1:903 9TH AVE APT 37
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1250
Practice Address - Country:US
Practice Address - Phone:206-883-1590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-10
Last Update Date:2025-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW615327601041C0700X
WACG61101722101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical