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DR. LISA PETILLO PHD, LCSW
NPI 1104114750
Social Worker - Clinical in Brooklyn, NY

Active since July 18, 2011
699 SACKETT ST, BROOKLYN, NY 11217(631) 626-7420(718) 524-8340 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2023, Sep 23, 2022 (2 updates tracked since 2022).

About Dr. Lisa Petillo Phd, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA PETILLO PHD, LCSW (NPI 1104114750) is an individual clinical provider in Brooklyn, New York, licensed in New York (076798) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1104114750
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. LISA PETILLOCredential: PHD, LCSW
Location Address699 SACKETT STBrooklyn, NY 11217-4561
Mailing Address699 Sackett StBrooklyn, NY 11217-4561 · (631) 626-7420 · Fax (718) 524-8340
Phone(631) 626-7420
Fax(718) 524-8340
Sole ProprietorYes
Enumeration DateJuly 18, 2011
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1104114750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 076798
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
699 SACKETT ST, Brooklyn, NY 11217
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Other Names 1

Former Name (1)Dr. Lisa Matus Phd, Lcsw

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA SCHAFFER LCSW
Social Worker (Clinical)
699 SACKETT ST
BROOKLYN, NY 11217
Kings County (646) 234-0173
MR. CARLOS BAYERRI-ALBESA L.AC, LMT
Massage Therapist
699 SACKETT ST, GROUNDFLOOR
BROOKLYN, NY 11217
Kings County (917) 755-8950
INTERSECTIONAL COUNSELING LCSW PLLC
Social Worker (Clinical)
699 SACKETT ST
BROOKLYN, NY 11217
Kings County (917) 275-7870
DR. DANIELLE NICOLE GORDON M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
699 SACKETT ST
BROOKLYN, NY 11217
Kings County (646) 801-5827
DR. TODD BRESNICK PSY.D.
Psychologist (Clinical)
699 SACKETT ST
BROOKLYN, NY 11217
Kings County (347) 577-9899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Petillo's NPI number?

The NPI number for Lisa Petillo is 1104114750. It was assigned to this individual provider in the NPPES registry on July 18, 2011. The provider is also known as Dr. Lisa Matus Phd, Lcsw.

Where is Lisa Petillo located?

Lisa Petillo practices at 699 Sackett St, Brooklyn, NY 11217. The listed phone number is (631) 626-7420.

What is Lisa Petillo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Lisa Petillo was last updated on June 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.