Active NPI
Francis Petrillo, MSW, LCSW, ACSW
- Clinical Social Worker
- Rockaway, NJ
National Provider Identifier
1093516478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04531800
- Practice address
- 2000 Lilly Dr Unit 2311
Rockaway, NJ 07866-1244 - Phone
- (973) 568-2962
- NPI assigned
- Mar 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04531800 | NJ | Primary |
Addresses
Primary practice location
2000 Lilly Dr Unit 2311
Rockaway, NJ 07866-1244
Mailing address
2000 Lilly Dr Unit 2311
Rockaway, NJ 07866-1244
Phone (973) 568-2962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
95 E Main St
Suite 109
Denville, NJ 07834-2158
Phone (862) 704-3055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04531800 | NJ | MD | Clinical Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Denville, NJ
- NPI 1629788609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1093516478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 LILLY DR UNIT 2311",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078661244",
"telephone_number": "973-568-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 LILLY DR UNIT 2311",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078661244",
"telephone_number": "973-568-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRILLO",
"first_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "MSW, LCSW, ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-21",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04531800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.