Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Martin

Individual provider Clinical Social Worker · NPI 1013211663

Keith Martin is a Clinical Social Worker in Staten Island, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

56 Bay St
Staten Island, NY 10301-2563
Phone: (718) 808-1420
Fax: (718) 808-1390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1720 S Gadsden St, Tallahassee, FL 32301-5506 — (850) 576-4073

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R036920-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence PSW800 (FL)

Record details

NPI number1013211663
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 22, 2010
Last updated in NPPESJuly 21, 2022

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