Individual provider · Type 1 NPI

Keith Martin

Clinical Social Worker · Staten Island, NY

NPI number 1013211663 Active

Practice location

56 Bay St
Staten Island, NY 10301-2563

Fax (718) 808-1390

Other practice locations

  • 1720 S Gadsden St, Tallahassee, FL 32301-5506 · (850) 576-4073

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XPSW800 (FL)
Clinical Social Worker Primary 1041C0700XR036920-1 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1013211663

Keith Martin's National Provider Identifier is 1013211663, issued on Dec 22, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 21, 2022.