Emily Rose Kettell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

104700 Issued in NY

Practice address

456 Waverly Ave
Patchogue, NY 11772-1586

Phone

(631) 447-6460

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

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.

• Brittni Traina, LCSW, PLLC

  • Clinical Social Worker
  • East Yaphank, NY
  • NPI 1083335509
  Medicare reassignment NPD
• Long Island Select Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Central Islip, NY
  • NPI 1043663107
  Medicare reassignment NPD
• Long Island Select Healthcare, Inc.

  • Developmental Disabilities Clinic/Center
  • Central Islip, NY
  • NPI 1891240784
  NPD

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1487119806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98120 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 WAVERLY AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721586",
            "telephone_number": "631-447-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTELL",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Kelsch, LCSW-R
• William Keltz, DPT
• Jenna Joy Kennedy, DPT
• Amanda Kern
• Lydia L Kessel, OTD, OTR/L
• Monica Lisa Khalil, M.D.
• Ayesha Khan, MD
• Hamid R Khan, RPH.
• Mishma Salsabil Khan
• Muhammad Shoaib Khan, RN

• Social Worker in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.