MEDICARE: KERRIE MARTIN LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	099283	NY

General Provider Information

NPI Number	:	1376120006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRIE MARTIN LMSW

Provider Business Mailing Address
First Line	:	345 W 86TH ST # 414
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-3113
Country	:	US
Telephone Number	:	917-330-4797
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 W 86TH ST # 414
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-3113
Country	:	US
Telephone Number	:	917-330-4797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2021
Last Update Date	:	03/10/2026

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Directions to “ KERRIE MARTIN LMSW” Practice Location

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