Serena Petullo, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07293500 Issued in NJ

Practice address

7 Regent St
Livingston, NJ 07039-1628

Phone

(862) 799-7627

NPI assigned

Jul 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1780575720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 REGENT ST",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391628",
            "telephone_number": "862-799-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETULLO",
        "first_name": "SERENA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07293500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44SL07293500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Rachel Petersen, L.C.S.W.
• Tina M Petillo, DO
• Sylvia Jean Petrone, MD
• Deborah Petrowsky, M.D.
• Vito A Petrozzino X, M.D.
• Merin Philips
• Kathleen Phillips, APN
• Physical Therapy House Calls Limited Liability Company
• Physicians for Womens Healthcare PA
• Michael Pickert, M.D.

• Social Worker in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.