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: July 19, 2026.

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

  • Individual
  • Male
  • Social Worker
  • Clinical

About KEITH MARTIN

This page provides the complete NPI Profile along with additional information for Keith Martin, a provider established in Staten Island, New York with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1013211663 assigned on December 2010. The practitioner's primary taxonomy code is 1041C0700X with license number R036920-1 (NY). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1013211663 Verify this NPI
Provider Name
KEITH MARTIN
Gender
Male
Entity Type
Individual
Location Address
56 BAY ST STATEN ISLAND, NY 10301
Location Phone
(718) 808-1420
Location Fax
(718) 808-1390
Mailing Address
56 BAY ST STATEN ISLAND, NY 10301
Mailing Phone
(718) 808-1420
Mailing Fax
(718) 808-1390
Is Sole Proprietor?
Yes
Enumeration Date
12-22-2010
Last Update Date
07-21-2022
Code Navigator

A clinical social worker like Keith Martin is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Secondary Locations

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

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
R036920-1
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

PSW800 (FL)

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Women's Health)
56 BAY ST
STATEN ISLAND, NY 10301
Community/Behavioral Health
56 BAY ST
STATEN ISLAND, NY 10301
Counselor (Addiction (Substance Use Disorder))
56 BAY ST, 6TH FLOOR
STATEN ISLAND, NY 10301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013211663, enumerated as an "individual" on December 22, 2010.

The provider is located at 56 BAY ST STATEN ISLAND, NY 10301 and the phone number is (718) 808-1420.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.