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

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: October 25, 2026.

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

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 Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Emily Kettell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Long Island Select Healthcare, Inc.
8.6 mi
Federally Qualified Health Center (FQHC)
159 CARLETON AVE
Central Islip, NY 11722
  • Reassigned Medicare billing, New York enrollment
  • 70 clinicians in this Medicare group
NPI 1043663107 (631) 650-2510
Brittni Traina, Lcsw, PLLC
9.4 mi
Clinical
424 STARLIGHT DR
East Yaphank, NY 11967
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1083335509 (631) 379-5637

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
KELLY L DEAN LCSW
Social Worker (Clinical)
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
SHERRILEE PARTISS LMSW
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
JAMIE LYN FLEMING LMSW
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
RISEWELL COMMUNITY SERVICES
Community/Behavioral Health
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
JENNIFER NEITHERCUT
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
MRS. MICHELE GRAZIANO F. GRAZIANO CASAC
Counselor (Addiction (Substance Use Disorder))
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 477-6460
ALYSON N HEIMANN
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460

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 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.

Where is Emily Kettell located?

Emily Kettell practices at 456 Waverly Ave, Patchogue, NY 11772. The listed phone number is (631) 447-6460.

What is Emily Kettell's specialty?

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

Is Emily Kettell enrolled in Medicare?

Yes. Emily Kettell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Kettell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Kettell reassigns Medicare benefits to 2 organizations: Long Island Select Healthcare, Inc. (Central Islip, NY) and Brittni Traina, Lcsw, PLLC (East Yaphank, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Kettell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Kettell accept?

Health plans from Oscar Health list Emily Kettell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.