Individual provider Active NPI

Lawrence Zuckerman, ED.D.,MSW

  • Mental Health Counselor
  • Smithtown, NY
National Provider Identifier
1821016825
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004603 Issued in GA
Practice address
70 Lawrence Ave
Smithtown, NY 11787-3607
Phone
(631) 724-0212
Fax
(631) 689-2084
NPI assigned
Jul 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004603 GA Primary
Clinical Social Worker 1041C0700X PR-017507-1 NY

Addresses

Primary practice location

70 Lawrence Ave
Smithtown, NY 11787-3607

Mailing address

70 Lawrence Ave
Smithtown, NY 11787-3607
Phone (631) 724-0212

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
I20101020000825 NY Practitioner - Clinical Social Worker 6103019302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
West Virginia University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33 Nassau Ave
2ND FL. Ste. 48
Brooklyn, NY 11222-3132
Phone (516) 319-5464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR-017507-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lawrence Zuckerman, LCSW, P.C. Clinical CurrentSince Feb 16, 2012 Accepting new patients

Locations

33 Nassau Ave
Fl 2
Brooklyn, NY 11222
Phone (516) 319-5464

70 Lawrence Ave
Smithtown, NY 11787
Phone (631) 724-0212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821016825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LAWRENCE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873607",
            "telephone_number": "631-724-0212",
            "fax_number": "631-689-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LAWRENCE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873607",
            "telephone_number": "631-724-0212",
            "fax_number": "631-689-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "ED.D.,MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "004603",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR-017507-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.