Individual provider Active NPI

David Zerella, LMSW

  • Clinical Social Worker
  • Centereach, NY
National Provider Identifier
1235599655
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085908 Issued in NY
Practice address
1919 Middle Country Rd Ste 204
Centereach, NY 11720-3501
Phone
(631) 997-0515
NPI assigned
Feb 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091713 NY
Clinical Social Worker 1041C0700X 085908 NY Primary

Addresses

Primary practice location

1919 Middle Country Rd Ste 204
Centereach, NY 11720-3501

Mailing address

1919 Middle Country Rd Ste 204
Centereach, NY 11720-3501
Phone (631) 997-0515

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
I20250723004298 NY Practitioner - Clinical Social Worker 5193231215 Practice locations: Centereach, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091713NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
James C Strickland Psychologist PC PastSince Feb 19, 2017 Accepting new patients

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1235599655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MIDDLE COUNTRY RD STE 204",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203501",
            "telephone_number": "631-997-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MIDDLE COUNTRY RD STE 204",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203501",
            "telephone_number": "631-997-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERELLA",
        "first_name": "DAVID",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091713",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

Verify at the official NPI Registry.