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

Mallory Rose Martire, LCSW

Individual provider Social Worker · NPI 1902449200

Mallory Rose Martire, LCSW is a Clinical Social Worker in Carmel, New York. Qualified in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
Phone: (845) 279-5908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 101633 (NY)
Social Worker Taxonomy 104100000X · Licence 114331 (NY)

Record details

NPI number1902449200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 20, 2019
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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