Active NPI
Sharon Lyn Zariello, LCSW
- Professional Counselor
- Port Jefferson, NY
National Provider Identifier
1669456091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 049107
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02053354 | Medicaid | NY | |
| 151910 | Other | NY | TRICARE |
| 6226676 | Other | NY | UBU |
| 7480588 | Other | NY | VALUE OPTIONS |
| R049107 | Other | NY | HIP |
| 7480588 | Other | NY | GHI |
| 95977 | Other | NY | VYTRA |
| 2064020 | Other | NY | CIGNA |
| P3150566 | Other | NY | OXFORD |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049107 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Elder Care LCSW PLLC | Current | 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.
-
- Social Worker
- Smithtown, NY
- NPI 1295763852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.