Individual provider · Type 1 NPI

Lisa Petillo, PhD, LCSW

Clinical Social Worker · Brooklyn, NY

NPI number 1104114750 Active

Practice location

699 Sackett St
Brooklyn, NY 11217-4561

Call (631) 626-7420 Map

Fax (718) 524-8340

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X076798 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

5 other providers at this address

Other clinical social worker providers in Brooklyn

See all in Brooklyn →

About NPI 1104114750

Lisa Petillo, PhD, LCSW's National Provider Identifier is 1104114750, issued on Jul 18, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 19, 2023.