Individual provider Active NPI

Sharon Lyn Zariello, LCSW

  • Professional Counselor
  • Port Jefferson, NY
National Provider Identifier
1669456091
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
049107 Issued in NY
Practice address
14 E Broadway
Port Jefferson, NY 11777-1400
Phone
(631) 642-9525
Fax
(631) 642-9525
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 049107 NY Primary

Addresses

Primary practice location

14 E Broadway
Port Jefferson, NY 11777-1400

Mailing address

152 Avenue B
Holbrook, NY 11741-1409
Phone (631) 642-9525

Other identifiers 9

IdentifierTypeStateIssuer
02053354MedicaidNY
151910OtherNYTRICARE
6226676OtherNYUBU
7480588OtherNYVALUE OPTIONS
R049107OtherNYHIP
7480588OtherNYGHI
95977OtherNYVYTRA
2064020OtherNYCIGNA
P3150566OtherNYOXFORD

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
I20101101000997 NY Practitioner - Clinical Social Worker 2961696208 Reassigns benefits to 1 organization
Practice locations: Port Jefferson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

640 Belle Terre Rd
Suite 3
Port Jefferson, NY 11777-1936
Phone (631) 642-9525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049107NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Elder Care LCSW PLLC CurrentSince Jan 10, 2019 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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669456091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 AVENUE B",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411409",
            "telephone_number": "631-642-9525",
            "fax_number": "631-642-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E BROADWAY",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771400",
            "telephone_number": "631-642-9525",
            "fax_number": "631-642-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARIELLO",
        "first_name": "SHARON",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "049107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02053354",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "151910",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBU",
            "identifier": "6226676",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "7480588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "R049107",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7480588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "95977",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2064020",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3150566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.