MS. KELLIE MARTIN (NPI# 1770935116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770935116 |
| Entity Type | Individual |
| Full Name | MS. KELLIE MARTIN |
| Credential | LCSW |
| Practice Address |
10 Hickory St Central Islip NY 11722-4704 |
| Practice Telephone | 6313359573 |
| Mailing Telephone | 6313359573 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
084444-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629032636 | Kellie Martin | Nurse Anesthetist, Certified Registered | 22101 Moross, Detroit, MI 48226 | 2006-04-14 |
| Street Address |
10 HICKORY ST |
| City | CENTRAL ISLIP |
| State | NY |
| Zip Code | 11722-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526185 | Pamela Bettes | Specialist/Technologist | 1650 Islip Avenue, Central Islip, NY 11722 | 2019-06-07 |
| 1306386537 | Rosetta Emille | Counselor | 421 Smith Street, Central Islip, NY 11722 | 2017-03-07 |
| 1194190850 | Muili Adebayo Awotorebo | Licensed Practical Nurse | 25 Cedar Street, Central Islip, NY 11722 | 2015-12-07 |
| 1841625613 | Valerie Chamberlain | Social Worker | 1832 Finch Ln, Central Islip, NY 11722 | 2013-09-11 |
| 1427307529 | Nicole Loibl | Pharmacist | 160 North Research Place, Central Islip, NY 11722 | 2012-09-05 |
| 1396053203 | Stephanie L Urban | Counselor | 115 Glenmore Avenue, Central Islip, NY 11722 | 2010-09-14 |
| 1487982914 | Christine Rosemarie Campbell | Counselor | 1499 Islip Ave, Central Islip, NY 11722 | 2009-11-20 |
| 1144454315 | Farah Kennedy | Licensed Practical Nurse | 67 Woodland Ave, Central Islip, NY 11722 | 2009-05-04 |
| 1366618563 | Lucretia Cory Banks | Licensed Practical Nurse | 14 Walnut Street, Central Islip, NY 11722 | 2008-05-07 |
| 1134391097 | Donna Maria Ortiz Orulepe | Licensed Vocational Nurse | 70 Pinewood Ave, Central Islip, NY 11722 | 2008-03-31 |
| Find all providers in zip 11722 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841625613 | Valerie Chamberlain | Social Worker | 1832 Finch Ln, Central Islip, NY 11722 | 2013-09-11 |
| 1568796779 | Scott E Forsmith | Social Worker | 10 Dolores Pl, Central Islip, NY 11722-2204 | 2009-09-22 |
| 1124298195 | Lois Johnson Logan | Social Worker | 6 Fairlawn Dr, Central Islip, NY 11722-4664 | 2008-03-06 |
| 1275604936 | David Angus Munro | Social Worker | 129 Carleton Ave, Central Islip, NY 11722 | 2006-11-13 |
| 1992876494 | Judith Anne Azzato | Social Worker | 15 Sprucewood Blvd, Central Islip, NY 11722-4620 | 2006-11-13 |
| 1639112121 | Leonard Kevin Sarro | Social Worker | 115 Carleton Ave, Central Islip, NY 11722-3619 | 2006-06-13 |
| 1609383587 | Cara Ann Stillwell | Social Worker | 320 Carleton Ave, Central Islip, NY 11722-4506 | 2018-01-02 |
| 1669825055 | Yamith Soacha | Social Worker | 320 Carleton Ave, Central Islip, NY 11722-4506 | 2016-07-20 |
| 1396045001 | Marilyn C Solano-foster | Social Worker | 115 Carleton Ave, Central Islip, NY 11722-3676 | 2010-10-27 |
| 1679800213 | Jo Ann V. Lewis | Social Worker | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2009-11-03 |
| Find all providers in CENTRAL ISLIP | ||||
| City | CENTRAL ISLIP |
| Zip Code | 11722 |
Please comment or provide details below to improve the information on MS. KELLIE MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.