Martin, Kellie
Martin, Kellie is an sole proprietor health care provider with primary practice located at 10 Hickory St , Central Islip NY 11722-4704. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Kellie can be contacted via phone (631) 335-9573.Contact Information
Primary practice address
10 Hickory St
Central Islip NY 11722-4704
Phone: (631) 335-9573
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW61407523 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 08-4444 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 084444-1 | New York |
Profile Details
| NPI number | 1770935116 |
|---|---|
| LBN Legal business name | Martin, Kellie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2016 |
| Last updated | May 15th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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