Individual provider Active NPI

Martin Pohrille, LCSW

  • Clinical Social Worker
  • Woodmere, NY
National Provider Identifier
1477506129
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R17095 Issued in NY
Practice address
112 Franklin PL
Woodmere, NY 11598-1253
Phone
(516) 374-3671
NPI assigned
May 17, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 R17095 NY Primary

Addresses

Primary practice location

112 Franklin PL
Woodmere, NY 11598-1253

Mailing address

105 Altamont Ave
Sea Cliff, NY 11579-1403
Phone (516) 674-0438

Other practice location 1

105 Altamont Ave
Sea Cliff, NY 11579-1403
Phone (516) 674-0438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114000248 NY Practitioner - Clinical Social Worker 2163835034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tempo Group, Inc.Group PAC ID 5799877262, 5 clinicians

Practice addresses (Care Compare)

112 Franklin PL
Woodmere, NY 11598-1217
Phone (516) 374-3671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017095NYMDMental Health Counselor
R17095NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tempo Group, Inc. CurrentSince Sep 29, 2020 Accepting new patients
Tempo Youth Services, Inc. CurrentSince Mar 19, 2023 Accepting new patients

Locations

1260 Meadowbrook Rd
North Merrick, NY 11566
Phone (516) 374-3671

23 Willis Ave
Syosset, NY 11791

112 Franklin Pl
Woodmere, NY 11598
Phone (516) 374-3671

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1477506129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ALTAMONT AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791403",
            "telephone_number": "516-674-0438",
            "fax_number": "516-674-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981253",
            "telephone_number": "516-374-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Altamont Ave",
            "address_purpose": "LOCATION",
            "city": "Sea Cliff",
            "state": "NY",
            "postal_code": "115791403",
            "country_code": "US",
            "telephone_number": "516-674-0438",
            "fax_number": "516-674-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POHRILLE",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-07-14",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R17095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.