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

MS. Petrucci E. Taliaferro, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1770740763

MS. Petrucci E. Taliaferro, MSW, LCSW is a Clinical Social Worker in South Orange, New Jersey. Qualified in 1974, 52 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
52
Licensed in
NJ
In the registry since
2008
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

15 Village Plz Ste - LL4
South Orange, NJ 07079-2818
Phone: (973) 763-2828
Fax: (973) 763-0087
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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 44SC01165100 (NJ)

Record details

NPI number1770740763
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedMay 19, 2008
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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