Individual provider Active NPI

Pamela Zuccarelli, LCSW

  • Clinical Social Worker
  • Levittown, NY
National Provider Identifier
1689112195
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084861 Issued in NY
Practice address
3175 Brixton LN
#7
Levittown, NY 11756-2822
Phone
(612) 229-8318
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 084861 NY Primary

Addresses

Primary practice location

3175 Brixton LN
#7
Levittown, NY 11756-2822

Mailing address

3175 Brixton LN
#7
Levittown, NY 11756-2822
Phone (612) 229-8318

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
I20170310000223 NY Practitioner - Clinical Social Worker 7113201112 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084861NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Feb 4, 2017 Accepting new patients
Outreach Development Corporation CurrentSince Oct 6, 2020 Accepting new patients

Locations

11 Farber Dr
Bellport, NY 11713
Phone (631) 286-0700

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

747 3rd Ave
Fl 2
New York, NY 10017
Phone (516) 387-2375

11711 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 847-9233

Organizations & group practices 2

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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1689112195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 BRIXTON LN",
            "address_2": "#7",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562822",
            "telephone_number": "612-229-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 BRIXTON LN",
            "address_2": "#7",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562822",
            "telephone_number": "612-229-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCCARELLI",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.