Martha Danielle Belesis, LCSW
Individual provider Active NPI Clinical Social Worker · Hampton Bays, NY
NPI 1093349029 · NPPES record last updated Feb 28, 2020
Key facts
- NPI
- 1093349029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 079376-1 (NY)
- Practice address
- 6 East Canal CT
Hampton Bays, NY 11946 - Phone
- (631) 764-0990
- NPI assigned
- Feb 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079376-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079376-1 | NY | Yes |
Addresses
Primary practice location
6 East Canal CT
Hampton Bays, NY 11946
Mailing address
6 East Canal CT
Hampton Bays, NY 11946
Other providers in Hampton Bays, NY
- B and B Hampton Drugs Inc
- Eileen C Barlow
- Julie Bates
- Sandy Adjei Bawuah
- Julie Ann Beatrice
- Barbara Jeanne Bendowski
- Erin Elaine Berglin
- Margaret Mary Berkhout
- Bernard Finnerty D/B/a Hampton Physical Therapy
- Emilia Berry
All providers in Hampton Bays, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.