Individual provider · Type 1 NPI

Kellie Martin, LCSW

Clinical Social Worker · Central Islip, NY

NPI number 1770935116 Active

Practice location

10 Hickory St
Central Islip, NY 11722-4704

Other practice locations

  • 6505 216th St SW Ste 100, Mountlake Terrace, WA 98043-2089 · (425) 640-7009

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLW61407523 (WA)
Clinical Social Worker 1041C0700X08-4444 (NY)
Clinical Social Worker Primary 1041C0700X084444-1 (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 1770935116

Kellie Martin, LCSW's National Provider Identifier is 1770935116, issued on Jul 11, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Central Islip, NY. The record was last updated on May 15, 2024.