Individual provider Active NPI

Francis Petrillo, MSW, LCSW, ACSW

  • Clinical Social Worker
  • Rockaway, NJ
National Provider Identifier
1093516478
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04531800 Issued in NJ
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

Updated by the provider on Mar 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618001286 NJ Practitioner - Clinical Social Worker 3779055918 Reassigns benefits to 1 organization

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
Inner Healing Therapy CenterGroup PAC ID 1052759230, 4 clinicians

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

LicenseStateTypeSpecialty
44SC04531800NJMDClinical 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.

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

Verify at the official NPI Registry.