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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 months ago

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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