PHETSAMON DILULLO
NPI 1982168688
Social Worker - Clinical in Windsor, CT

Q: What is Phetsamon Dilullo's NPI number?

The NPI number for Phetsamon Dilullo is 1982168688. It was assigned to this individual provider in the NPPES registry on January 27, 2019.

Q: What is Phetsamon Dilullo'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 Phetsamon Dilullo was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 27, 2019PECOS EnrolledAccepts Medicare Assignment

32 MAPLE AVE, WINDSOR, CT 06095(860) 973-9171 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2019, Jan 27, 2019 (2 updates tracked since 2019).

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About Phetsamon Dilullo NPPES

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

PHETSAMON DILULLO (NPI 1982168688) is an individual clinical provider in Windsor, Connecticut, licensed in Connecticut (010163) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Windsor, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1982168688

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NamePHETSAMON DILULLO

Location Address32 MAPLE AVEWindsor, CT 06095-2922

Mailing Address32 Maple AveWindsor, CT 06095-2922 · (860) 973-9171

Phone(860) 973-9171

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 27, 2019

Last NPPES UpdateApril 12, 20192 updates tracked since enumeration

✔ NPI 1982168688 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 CT · 010163

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.

32 MAPLE AVE, Windsor, CT 06095

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Secondary Practice Location 1

Location 132 Maple AveWindsor, CT 06095-2922 · Phone (860) 973-9171 ext. 1

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, 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

Phetsamon Dilullo 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 ID8022458348

PECOS Enrollment IDI20260203000690

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 2

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.

70 services12 patients

Group psychotherapy 90853

Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.

51 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06095 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 $60.82 – $183.10

Typical copayment $0.00 (range $15.20 – $45.77)

Most-billed visit code NA

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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 8

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

MRS. JENNINE M. GIALOPSOS LCSW, LADC

Social Worker (Clinical)