Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA ANNA PETTIT LCSW
NPI 1295140804
Social Worker in Holbrook, NY

Q: What is Jessica Pettit's NPI number?

The NPI number for Jessica Pettit is 1295140804. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Q: What is Jessica Pettit's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Pettit was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2014

321 DANTE CT STE 6, HOLBROOK, NY 11741(631) 416-4011 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jessica Anna Pettit Lcsw NPPES

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

JESSICA ANNA PETTIT LCSW (NPI 1295140804) is an individual social worker in Holbrook, New York, licensed in New York (094187) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1295140804

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJESSICA ANNA PETTITCredential: LCSW

Location Address321 DANTE CT STE 6Holbrook, NY 11741-3842

Mailing Address14 Norfolk DrNorthport, NY 11768-1031 · (631) 416-4011

Phone(631) 416-4011

Sole ProprietorNo

Enumeration DateJune 23, 2014

Last NPPES UpdateAugust 16, 2026

NPPES CertifiedAugust 16, 2026

✔ NPI 1295140804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 094187

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

321 DANTE CT STE 6, Holbrook, NY 11741

Open in Google Maps ↗

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 Jessica Pettit's NPI number?

The NPI number for Jessica Pettit is 1295140804. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Jessica Pettit located?

Jessica Pettit practices at 321 Dante Ct Ste 6, Holbrook, NY 11741. The listed phone number is (631) 416-4011.

What is Jessica Pettit's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jessica Pettit was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.