Individual provider Active NPI

Samantha Patricia Tralli

  • Social Worker
  • Port Jefferson, NY
National Provider Identifier
1750294344
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
132137-01 Issued in NY
Practice address
35 Puritan Path
Port Jefferson, NY 11777-1456
Phone
(631) 802-6126
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 132137-01 NY Primary

Addresses

Primary practice location

35 Puritan Path
Port Jefferson, NY 11777-1456

Mailing address

5207 Westbrook Blvd
East Islip, NY 11730-1490
Phone (631) 802-6126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1750294344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 WESTBROOK BLVD",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301490",
            "telephone_number": "631-802-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PURITAN PATH",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771456",
            "telephone_number": "631-802-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRALLI",
        "first_name": "SAMANTHA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "132137-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.