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MS. KELLIE MARTIN LCSW
NPI 1770935116
Social Worker - Clinical in Central Islip, NY

Active since July 11, 2016PECOS Enrolled
10 HICKORY ST, CENTRAL ISLIP, NY 11722(631) 335-9573 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 15, 2024, Jul 11, 2016 (2 updates tracked since 2016).

About Ms. Kellie Martin Lcsw NPPES

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

MS. KELLIE MARTIN LCSW (NPI 1770935116) is an individual clinical provider in Central Islip, New York, licensed in New York (084444-1) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1770935116
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KELLIE MARTINCredential: LCSW
Location Address10 HICKORY STCentral Islip, NY 11722-4704
Mailing Address10 Hickory StCentral Islip, NY 11722-4704 · (631) 335-9573
Phone(631) 335-9573
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 11, 2016
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1770935116 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 · 084444-1✔ Licensed in WA · LW61407523✔ Licensed in NY · 08-4444
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.
10 HICKORY ST, Central Islip, NY 11722
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee, BridgeSpan Health Company and more.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)

Ms. Kellie Martin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890077820
PECOS Enrollment IDI20260703000498
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11722 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

PICK YOUR PATHWAY INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
10 HICKORY ST
CENTRAL ISLIP, NY 11722
Suffolk County (631) 335-9573

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 Kellie Martin's NPI number?

The NPI number for Kellie Martin is 1770935116. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Kellie Martin located?

Kellie Martin practices at 10 Hickory St, Central Islip, NY 11722. The listed phone number is (631) 335-9573.

What is Kellie Martin's specialty?

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

Is Kellie Martin enrolled in Medicare?

Yes. Kellie Martin is registered in the Medicare PECOS enrollment system.

What insurance does Kellie Martin accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Highmark Blue Cross Blue Shield Delaware and MedMutual and 10 other insurers list Kellie Martin 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 Kellie Martin was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.