Ms. Kristen E Petullo, LCSW
Social Worker, Clinical in Nutley, New Jersey
1952540858- Practice location
- 169 Chestnut St, Nutley, NJ 07110-2311
- Phone
- 973-951-2326
- Fax
- —
- Last updated
- March 10, 2021
Kristen Elizabeth Petullo is a Social Worker, Clinical based in Nutley, NJ. Kristen Elizabeth Petullo practices in Nutley, NJ and has the professional credentials of LCSW. The NPI Number for Kristen Elizabeth Petullo is 1952540858 and holds a License No. 44sc05335000 (NJ). The current practice location address for Kristen Elizabeth Petullo is 169 Chestnut St, Nutley, NJ 07110-2311 and can be reached out via phone at 973-951-2326.
Provider Profile Details
- NPI Number
- 1952540858
- Provider Name
- Kristen Elizabeth Petullo
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 169 Chestnut St, Nutley, NJ 07110-2311
- Phone Number
- 973-951-2326
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 17, 2009
- Last Update Date
- March 10, 2021
- Certification Date
- March 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 169 Chestnut St
Nutley, NJ 07110-2311 - City
- Nutley
- State
- New Jersey
- Zip
- 07110-2311
- Phone Number
- 973-951-2326
Provider Business Mailing Address Details
- Address
- 25 Macarthur Dr
Clifton, NJ 07013-3925 - City
- Clifton
- State
- NJ
- Zip
- 07013-3925
- Phone Number
- 973-951-2326
License Information
- License Number
- 44sc05335000
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Nutley, NJ
View all Social Worker, Clinical providers in Nutley →- Carmen Morales, LCSWSocial Worker, Clinical · NPI 1699497412
- Carol R Kolton, LCSWSocial Worker, Clinical · NPI 1861548729
- Elizabeth Hanifin LCSW LLCSocial Worker, Clinical · NPI 1336795160
- Gina M Mancuso, LCSWSocial Worker, Clinical · NPI 1538132675
- Jennifer L Sampson, LCSWSocial Worker, Clinical · NPI 1013216233
- Megan A MillerSocial Worker, Clinical · NPI 1366127482
Frequently Asked Questions
What is the NPI number of Ms. Kristen E Petullo, LCSW?
The NPI number of Ms. Kristen E Petullo, LCSW is 1952540858. It was assigned on February 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Ms. Kristen E Petullo, LCSW?
Ms. Kristen E Petullo, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc05335000.
Where does Ms. Kristen E Petullo, LCSW practice?
The practice location is 169 Chestnut St, Nutley, NJ 07110-2311. The office can be reached at 973-951-2326 (phone).
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 1952540858 directly on the NPPES registry website.