Active NPI
Dr. Lawrence Zuckerman, LCSW, P.C.
- Clinical Social Worker
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RP017507
- Legal business name
- DR. LAWRENCE ZUCKERMAN, LCSW, P.C.
- Practice address
- 70 Lawrence Ave
Smithtown, NY 11787-3607 - Phone
- (631) 724-0212
- Fax
- (631) 689-2084
- NPI assigned
- Feb 4, 2012
- Last updated
- Feb 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Zuckerman, ED.D., LSCW
- Title
- President
- Phone
- (631) 724-0212
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RP017507 | NY | Primary |
Addresses
Primary practice location
70 Lawrence Ave
Smithtown, NY 11787-3607
Mailing address
70 Lawrence Ave
Smithtown, NY 11787-3607
Phone (631) 724-0212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02449154 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
33 Nassau Ave
Fl 2
Brooklyn, NY 11222
Phone (516) 319-5464
70 Lawrence Ave
Smithtown, NY 11787
Phone (631) 361-7363
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328313600000",
"number": "1982976098",
"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": {
"organization_name": "DR. LAWRENCE ZUCKERMAN, LCSW, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-04",
"last_updated": "2012-02-04",
"status": "A",
"authorized_official_last_name": "ZUCKERMAN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-724-0212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D., LSCW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RP017507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02449154",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.