MS. KRISTEN ELIZABETH PETULLO LCSW
NPI 1952540858
Social Worker - Clinical in Nutley, NJ

Q: 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.

Q: What is Kristen Petullo's specialty?

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

Q: 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.

Active since February 17, 2009PECOS EnrolledAccepts Medicare Assignment

169 CHESTNUT ST, NUTLEY, NJ 07110(973) 951-2326 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1952540858

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. KRISTEN ELIZABETH PETULLOCredential: LCSW

Location Address169 CHESTNUT STNutley, NJ 07110-2311

Mailing Address25 Macarthur DrClifton, NJ 07013-3925 · (973) 951-2326

Phone(973) 951-2326

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 17, 2009

Last NPPES UpdateMarch 10, 2021

NPPES CertifiedMarch 10, 2021

✔ NPI 1952540858 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 NJ · 44SC05335000

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.

169 CHESTNUT ST, Nutley, NJ 07110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9234516543

PECOS Enrollment IDI20220506000226

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

99 services12 patients

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.

New Patient

$0.00 typical visit price

range $63.84 – $190.92

Typical copayment $0.00 (range $15.96 – $47.73)

Most-billed visit code NA

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

MR. BRANDON MICHAEL LEE LSW

Counselor (Mental Health)