MEDICARE: MRS. CHARLOTTE ZUCKERMAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	0472151	NY

General Provider Information

NPI Number	:	1598814717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHARLOTTE ZUCKERMAN LCSW

Provider Business Mailing Address
First Line	:	2230 RAILROAD AVENUE
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782
Country	:	US
Telephone Number	:	631-732-4350
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 RAILROAD AVENUE
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782
Country	:	US
Telephone Number	:	631-732-4350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	01/11/2026

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