Kellie Martin, LCSW
NPI 1770935116 · Clinical Social Worker · Central Islip, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellie Martin, LCSW is a Clinical Social Worker provider in Central Islip, NY (NPI 1770935116).
Provider details
- NPI number
- 1770935116
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LW61407523 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6505 216th St Sw Ste 100Mountlake Terrace, WA 98043-2089Phone: (425) 640-7009
Registry dates
- Enumerated
- 2016-07-11
- Last updated
- 2024-05-15
- Certified
- 2024-03-01
Frequently asked questions
- What is Kellie Martin's NPI number?
- Kellie Martin's National Provider Identifier (NPI) is 1770935116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Martin's specialty?
- Kellie Martin is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kellie Martin located?
- Kellie Martin's practice location on file with NPPES is 10 Hickory St, Central Islip, NY 11722-4704.
- What is Kellie Martin's phone number?
- The practice phone number listed in the NPPES registry for Kellie Martin is (631) 335-9573.
- Does Kellie Martin accept Medicare?
- Kellie Martin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellie Martin's NPI active?
- Yes — Kellie Martin's NPI (1770935116) is active in the NPPES registry as of the last update on 2024-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.