Active NPI
Kerry J Sweeney-Zarkowsky, LMSW
- Social Worker
- East Yaphank, NY
National Provider Identifier
1073835542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 078330-1
- Practice address
- 141 Colin Dr
Suite 1
East Yaphank, NY 11967-1521 - Phone
- (631) 205-5820
- Fax
- (631) 205-5826
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 078330-1 | NY | Primary |
Addresses
Primary practice location
141 Colin Dr
Suite 1
East Yaphank, NY 11967-1521
Mailing address
141 Colin Dr
Suite 1
East Yaphank, NY 11967-1521
Phone (631) 205-5820
Other names 1
- Ms. Kerry J Sweeney
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078330-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1073835542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 COLIN DR",
"address_2": "SUITE 1",
"city": "EAST YAPHANK",
"state": "NY",
"postal_code": "119671521",
"telephone_number": "631-205-5820",
"fax_number": "631-205-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 COLIN DR",
"address_2": "SUITE 1",
"city": "EAST YAPHANK",
"state": "NY",
"postal_code": "119671521",
"telephone_number": "631-205-5820",
"fax_number": "631-205-5826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY-ZARKOWSKY",
"first_name": "KERRY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "078330-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "SWEENEY",
"middle_name": "J",
"prefix": "MS.",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in East Yaphank, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.