Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Marilyn Sandra Pettinati, LCSW

Individual provider Mental Health Counselor · NPI 1811934995

MS. Marilyn Sandra Pettinati, LCSW is a Clinical Social Worker in Fair Lawn, New Jersey. Graduated from Fordham University School of Medicine in 1983, 43 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
43
Trained at
Fordham University School of Medicine
Licensed in
NJ
In the registry since
2006
What do these letters mean?
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

38-14 Morlot Ave
Fair Lawn, NJ 07410-4917
Phone: (201) 723-9016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 44SCOO405700 (NJ)

Record details

NPI number1811934995
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fair Lawn