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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. IRENE SOFIA KOUTSIDIS-MARTELLI, LCSW

Active Sole Proprietor

MS. IRENE SOFIA KOUTSIDIS-MARTELLI, LCSW is a Clinical Social Worker healthcare provider located in NORTHPORT, New York. NPI 1518584341 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · NORTHPORT, NY

Registration Details

NPI Number
1518584341
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2020 (6.1160866221501 yrs)
Last Updated
May 21, 2024
Licenses
109203 (NY)
097650 (NY)
Sole Proprietor
Yes

Practice Information

Address
79 MIDDLEVILLE RD
NORTHPORT, NY, 117682296
Browse NY providers · Browse ZIP 11768
Phone
6312614400
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in NORTHPORT, NY

Name Credential NPI
MS. CAROL S KRISHNAMOORTHY LCSW 1285646067
MR. JOHN A SPERANDEO LCSW 1407961824
MRS. MELANIE LYNN BRODSKY L.C.S.W. 1164538997
MR. GREGORY SCOTT CURRAN MSW 1609983865
MRS. CARRIE RENEE SCHECHNER LCSW 1053428219
MS. VIVIAN ELIZABETH BUGAOAN LCSW 1225145154
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.