Samantha Marzano LCSW PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAMANTHA MARZANO LCSW PC

Practice address

640 Belle Terre Rd Ste E
Port Jefferson, NY 11777-1936

Phone

(917) 648-8198

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Samantha MarzanoNPI 1679231401

Title

President

Phone

(917) 648-8198

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Marzano, LCSW

  • Clinical Social Worker
  • Port Jefferson, NY
  • NPI 1679231401
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1689496044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHUCK LN",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841409",
            "telephone_number": "917-648-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BELLE TERRE RD STE E",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771936",
            "telephone_number": "917-648-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA MARZANO LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "MARZANO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-648-8198"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pattianne Ruppel, P.T.
• John C Rutter, D.D.S
• Jennifer Sabella, OCCUPATIONAL THERAP
• Gisou Saffari, LMT
• Salim a Matar MD PC
• Lisa Marie Sammarco, FNP
• Christine Ann Sammy, MS
• Samuel Brown DO, PC
• Kelly Conrad Sanchez, LMFT
• Mark Sandberg

• Community/Behavioral Health Agency in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.