Individual provider Active NPI

Stacey Lauren Marrone, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Stony Brook, NY
National Provider Identifier
1356617005
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
084824 Issued in NY
Practice address
34 Shelbourne LN
Stony Brook, NY 11790-3174
Phone
(631) 374-5811
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 084824 NY Primary

Addresses

Primary practice location

34 Shelbourne LN
Stony Brook, NY 11790-3174

Mailing address

452 Suffolk Ave
Brentwood, NY 11717-4214
Phone (631) 436-6065

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
I20180406000885 NY Practitioner - Clinical Social Worker 4284997123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Visiting Counselors LCSW PLLCGroup PAC ID 8426393968, 28 clinicians

Practice addresses (Care Compare)

900 Walt Whitman Rd
Suite LL1
Melville, NY 11747-2215
Phone (516) 698-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Counselors of New York, LCSW, PLLC CurrentSince Feb 6, 2018 Accepting new patients
Visiting Counselors, LCSW, PLLC CurrentSince May 18, 2025 Accepting new patients
Town of Islip Addiction (Substance Use Disorder) Past Accepting new patients
Outreach Development Corporation Addiction (Substance Use Disorder) PastSince Sep 9, 2020 Accepting new patients

Locations

900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511

Organizations & group practices 4

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1356617005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174214",
            "telephone_number": "631-436-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SHELBOURNE LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903174",
            "telephone_number": "631-374-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRONE",
        "first_name": "STACEY",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "084824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.