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KEITH MARTIN
NPI 1013211663
Social Worker - Clinical in Staten Island, NY

Active since December 22, 2010
56 BAY ST, STATEN ISLAND, NY 10301(718) 808-1420(718) 808-1390 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 17, 2017 (3 updates tracked since 2017).

About Keith Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH MARTIN (NPI 1013211663) is an individual clinical provider in Staten Island, New York, licensed in New York (R036920-1) and active in the NPI registry since December 2010. He maintains a secondary practice location in Tallahassee.

NPPES Registry Identity

NPI1013211663
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEITH MARTIN
Location Address56 BAY STStaten Island, NY 10301-2563
Mailing Address56 Bay StStaten Island, NY 10301-2563 · (718) 808-1420 · Fax (718) 808-1390
Phone(718) 808-1420
Fax(718) 808-1390
Sole ProprietorYes
Enumeration DateDecember 22, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1013211663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · R036920-1✔ Licensed in FL · PSW800
Definition
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.
56 BAY ST, Staten Island, NY 10301
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Secondary Practice Location 1

Location 11720 S Gadsden StTallahassee, FL 32301-5506 · Phone (850) 576-4073 ext. 218 · Fax (850) 576-8259

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY SHEERAN CASAC
Counselor (Addiction (Substance Use Disorder))
56 BAY ST, 6TH FLOOR
STATEN ISLAND, NY 10301
Richmond County (718) 808-1439
DR. ELIZABETH ANN WHEELER NP
Nurse Practitioner (Women's Health)
56 BAY ST
STATEN ISLAND, NY 10301
Richmond County (718) 981-3366
COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.
Community/Behavioral Health
56 BAY ST
STATEN ISLAND, NY 10301
Richmond County (718) 808-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Martin's NPI number?

The NPI number for Keith Martin is 1013211663. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Keith Martin located?

Keith Martin practices at 56 Bay St, Staten Island, NY 10301. The listed phone number is (718) 808-1420.

What is Keith Martin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Keith Martin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.