EMILY ROSE KETTELL LMSW
NPI 1487119806
Social Worker in Patchogue, NY

Q: What is Emily Kettell's NPI number?

The NPI number for Emily Kettell is 1487119806. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Q: What is Emily Kettell's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Kettell was last updated on January 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 11, 2019PECOS Enrolled

456 WAVERLY AVE, PATCHOGUE, NY 11772(631) 447-6460 Get Directions Write a Review

NPPES record last updated: January 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2023, Feb 11, 2019 (2 updates tracked since 2019).

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About Emily Rose Kettell Lmsw NPPES

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

EMILY ROSE KETTELL LMSW (NPI 1487119806) is an individual social worker in Patchogue, New York, licensed in New York (104700) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487119806

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameEMILY ROSE KETTELLCredential: LMSW

Location Address456 WAVERLY AVEPatchogue, NY 11772-1586

Mailing Address98120 Queens BlvdRego Park, NY 11374-4357

Phone(631) 447-6460

Sole ProprietorNo

Enumeration DateFebruary 11, 2019

Last NPPES UpdateJanuary 28, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2023

✔ NPI 1487119806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 104700

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

456 WAVERLY AVE, Patchogue, NY 11772

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Rose Kettell Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

SHANNON MIELE

Social Worker