Lisa Petillo, PHD, LCSW
NPI 1104114750 · Clinical Social Worker · Brooklyn, NY
Lisa Petillo, PHD, LCSW is a Clinical Social Worker provider in Brooklyn, NY (NPI 1104114750).
Provider details
- NPI number
- 1104114750
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 076798 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-18
- Last updated
- 2023-06-19
- Certified
- 2023-06-19
Frequently asked questions
- What is Lisa Petillo's NPI number?
- Lisa Petillo's National Provider Identifier (NPI) is 1104114750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Petillo's specialty?
- Lisa Petillo is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lisa Petillo located?
- Lisa Petillo's practice location on file with NPPES is 699 Sackett St, Brooklyn, NY 11217-4561.
- What is Lisa Petillo's phone number?
- The practice phone number listed in the NPPES registry for Lisa Petillo is (631) 626-7420.
- Is Lisa Petillo's NPI active?
- Yes — Lisa Petillo's NPI (1104114750) is active in the NPPES registry as of the last update on 2023-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.