MS. KRISTEN ELIZABETH PETULLO LCSW
NPI 1952540858
Social Worker - Clinical in Nutley, NJ
About Ms. Kristen Elizabeth Petullo Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTEN ELIZABETH PETULLO LCSW (NPI 1952540858) is an individual clinical provider in Nutley, New Jersey, licensed in New Jersey (44SC05335000) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kristen Elizabeth Petullo Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kristen Petullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nutley, NJ 07110
- Reassigned Medicare billing, New Jersey enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NUTLEY, NJ 07110
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 Kristen Petullo's NPI number?
The NPI number for Kristen Petullo is 1952540858. It was assigned to this individual provider in the NPPES registry on February 17, 2009.
Where is Kristen Petullo located?
Kristen Petullo practices at 169 Chestnut St, Nutley, NJ 07110. The listed phone number is (973) 951-2326.
What is Kristen Petullo's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kristen Petullo enrolled in Medicare?
Yes. Kristen Petullo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristen Petullo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Petullo reassigns Medicare benefits to Nutley Family Service Bureau, Inc. (Nutley, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristen Petullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristen Petullo was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Ms. Kristen Elizabeth Petullo, LCSW · NPI 1952540858
Clinical provider in Nutley, New Jersey. Individual provider, active in the CMS NPPES registry since February 17, 2009.
## Identity
- **NPI:** 1952540858 (Entity type: Individual)
- **Enumerated:** February 17, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 44SC05335000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 169 CHESTNUT ST, Nutley, NJ 07110-2311
- **Phone:** (973) 951-2326
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Nutley Family Service Bureau, Inc. (NPI 1760532345, Nutley, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** March 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1952540858) · Data from the CMS NPPES public registry.