DR. LISA PETILLO PHD, LCSW
NPI 1104114750
Social Worker - Clinical in Brooklyn, NY
NPI Status: Active since July 18, 2011
Contact Information
699 SACKETT ST
BROOKLYN, NY
ZIP 11217
Phone: (631) 626-7420
Fax: (718) 524-8340
- Individual
- Female
- Social Worker
- Clinical
About LISA PETILLO
This page provides the complete NPI Profile along with additional information for Lisa Petillo, a provider established in Brooklyn, New York with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1104114750 assigned on July 2011. The practitioner's primary taxonomy code is 1041C0700X with license number 076798 (NY). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1104114750
- Provider Name
- DR. LISA PETILLO PHD, LCSW
- Other Name
- DR. LISA MATUS PHD, LCSW
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 699 SACKETT ST BROOKLYN, NY 11217
- Location Phone
- (631) 626-7420
- Location Fax
- (718) 524-8340
- Mailing Address
- 699 SACKETT ST BROOKLYN, NY 11217
- Mailing Phone
- (631) 626-7420
- Mailing Fax
- (718) 524-8340
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-18-2011
- Last Update Date
- 06-19-2023
- Code Navigator
A clinical social worker like Lisa Petillo is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 076798
- License State
- NY
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 1 | 1 | 4 | 7 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 2 | 1 | 8 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 2 + 1 + 8 + 7 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104114750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144556614 | JULIA SCHAFFER LCSW Individual | Social Worker (Clinical) | 699 SACKETT ST BROOKLYN, NY 11217 (646) 234-0173 |
| 1386859403 | DR. DANIELLE NICOLE GORDON M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 699 SACKETT ST BROOKLYN, NY 11217 (646) 801-5827 |
| 1477871481 | DR. TODD BRESNICK PSY.D. Individual | Psychologist (Clinical) | 699 SACKETT ST BROOKLYN, NY 11217 (347) 577-9899 |
| 1225662745 | INTERSECTIONAL COUNSELING LCSW PLLC Organization | Social Worker (Clinical) | 699 SACKETT ST BROOKLYN, NY 11217 (917) 275-7870 |
| 1225362262 | MR. CARLOS BAYERRI-ALBESA L.AC, LMT Individual | Massage Therapist | 699 SACKETT ST GROUNDFLOOR BROOKLYN, NY 11217 (917) 755-8950 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104114750, enumerated in the NPI registry as an "individual" on July 18, 2011
The provider is located at 699 Sackett St Brooklyn, Ny 11217 and the phone number is (631) 626-7420
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on July 18, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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