Individual provider Active NPI

Justine Zerbo, LCSW

  • Clinical Social Worker
  • West Islip, NY
National Provider Identifier
1033628847
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074594 Issued in NY
Practice address
312 Hamilton PL
West Islip, NY 11795-1930
Phone
(631) 678-3475
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 074594 NY Primary

Addresses

Primary practice location

312 Hamilton PL
West Islip, NY 11795-1930

Mailing address

312 Hamilton PL
West Islip, NY 11795-1930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074594NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Therapy & Wellness LCSW PLLC Clinical CurrentSince Feb 2, 2025 Accepting new patients

Locations

57 W Main St
Ste 320
Babylon, NY 11702
Phone (631) 626-0185

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1033628847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HAMILTON PL",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HAMILTON PL",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951930",
            "telephone_number": "631-678-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERBO",
        "first_name": "JUSTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.