Provider Demographics
NPI:1538960885
Name:ZERBO, NICOLE ANN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:ANN
Last Name:ZERBO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 ERIK DR
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3471
Mailing Address - Country:US
Mailing Address - Phone:631-220-9462
Mailing Address - Fax:
Practice Address - Street 1:83 ERIK DR
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3471
Practice Address - Country:US
Practice Address - Phone:631-220-9462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0996681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical