Active NPIIndividual provider

Mr. Darren Petillo, LCSW

Social Worker, Clinical in Westport, Connecticut

NPI Number1588678809
Practice location
31 Imperial Ave, 3RD Floor, Westport, CT 06880-4303
Fax
201-759-9091
Last updated
September 16, 2008

Darren Petillo is a Social Worker, Clinical based in Westport, CT. Darren Petillo practices in Westport, CT and has the professional credentials of LCSW. The NPI Number for Darren Petillo is 1588678809 and holds a License No. 005990 (CT). The current practice location address for Darren Petillo is 31 Imperial Ave, 3RD Floor, Westport, CT 06880-4303 and can be reached out via phone at 201-759-9091 and via fax at 201-759-9091.

Provider Profile Details

NPI Number
1588678809
Provider Name
Darren Petillo
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
31 Imperial Ave, 3RD Floor, Westport, CT 06880-4303
Phone Number
201-759-9091
Fax Number
201-759-9091
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2006
Last Update Date
September 16, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Imperial Ave
3RD Floor
Westport, CT 06880-4303
Zip
06880-4303
Phone Number
201-759-9091
Fax Number
201-759-9091
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
5 Hundley CT
Unit 2A
Stamford, CT 06902-3923
City
Stamford
State
CT
Zip
06902-3923
Phone Number
201-759-9091
Fax Number
201-759-9091

License Information

License Number
005990
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Darren Petillo, LCSW?

The NPI number of Mr. Darren Petillo, LCSW is 1588678809. It was assigned on July 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Darren Petillo, LCSW?

Mr. Darren Petillo, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005990.

Where does Mr. Darren Petillo, LCSW practice?

The practice location is 31 Imperial Ave, 3RD Floor, Westport, CT 06880-4303. The office can be reached at 201-759-9091 (phone) or 201-759-9091 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588678809 directly on the NPPES registry website.

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