Kellie Martin (NPI# 1770935116, PAC ID# 5890077820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1770935116 |
| PAC ID by PECOS | 5890077820 |
| Professional Enrollment ID | I20170126001000 |
| Full Name | Kellie Martin |
| Organization Legal Name | LONG ISLAND ELDER CARE LCSW PLLC |
| Address |
51 Rose St Smithtown NY 11787-1052 |
| Phone Number | 6319793498 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8224038286 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 51 Rose St, Smithtown, NY 11787-1052 | 6319793498 | LONG ISLAND ELDER CARE LCSW PLLC |
| Organization Legal Name | LONG ISLAND ELDER CARE LCSW PLLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula Pagan-rosas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Rosemary D Cabanillas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Angela R Cammarata | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Edward D Smith Iii | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Theresa A Keane | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Jennifer Michelle Digiovanni | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Joanne M Varrichio | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Colleen J Kalman | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Janet G Espinoza | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Micheale Marie Payne | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Street Address |
51 ROSE ST |
| City | SMITHTOWN |
| State | NY |
| Zip | 11787-1052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula Pagan-rosas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Rosemary D Cabanillas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Angela R Cammarata | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Edward D Smith Iii | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Theresa A Keane | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Jennifer Michelle Digiovanni | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Joanne M Varrichio | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Colleen J Kalman | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Janet G Espinoza | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Micheale Marie Payne | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronak T Shah | Pulmonary Disease | Stony Brook Internists, University Faculty Practice Corporation | 240 Middle Country Rd, Smithtown, NY 11787 |
| Haidee Ganz-bonhurst | Physical Therapy | 50 Route 111, Suite 103, Smithtown, NY 11787 | |
| Lisa Ribaudo | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Elizabeth P Degrocco | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Kathleen A Garneau | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Valerie J Chamberlain | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Jill Brown | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Jean E Mcfadden | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Steven A Rossi | Qualified Speech Language Pathologist | Long Island Select Healthcare, Inc | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 |
| Eugene N Gerardi | Allergy/immunology | Long Island Select Healthcare, Inc | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 |
| Find all physicians in zip 11787 | |||
| City | SMITHTOWN |
| Zip Code | 11787 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SMITHTOWN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kellie Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.