Individual provider Active NPI

Mirta Martinez-Kekenak, LCSW

  • Clinical Social Worker
  • Largo, FL
National Provider Identifier
1033373501
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098833 Issued in NY
Practice address
12360 66TH St # Y3
Largo, FL 33773-3434
Phone
(727) 558-1344
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 098833 NY Primary

Addresses

Primary practice location

12360 66TH St # Y3
Largo, FL 33773-3434

Mailing address

12360 66TH St # Y3
Largo, FL 33773-3434
Phone (727) 558-1344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098833NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Counseling & Mediation Services Social Worker Current Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1033373501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 66TH ST # Y3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733434",
            "telephone_number": "727-558-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 66TH ST # Y3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733434",
            "telephone_number": "727-558-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-KEKENAK",
        "first_name": "MIRTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.