Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa Petillo, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1104114750

Dr. Lisa Petillo, PHD, LCSW is a Clinical Social Worker in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

699 Sackett St
Brooklyn, NY 11217-4561
Phone: (631) 626-7420
Fax: (718) 524-8340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 076798 (NY)

Record details

NPI number1104114750
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW
Sole proprietorYes
NPI enumeratedJuly 18, 2011
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

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