Lisa Petrucelli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015671 Issued in PA

Practice address

299 Industrial Park Rd Ste 2
Nazareth, PA 18064-2439

Phone

(610) 504-6122

Fax

(610) 365-2506

NPI assigned

Jun 14, 2007

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Petrucelli Counseling, P.C.

  • Mental Health Counselor
  • Easton, PA
  • NPI 1972474690
  NPD Authorized official
• Kimberly Gentempo-McAllister Pys D LLC

  • Psychologist
  • Nazareth, PA
  • NPI 1790114387
  NPD
• Pocono Counseling Associates PC

  • Professional Counselor
  • Stroudsburg, PA
  • NPI 1316378870
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1992909725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 INDUSTRIAL PARK RD STE 2",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642439",
            "telephone_number": "610-504-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 INDUSTRIAL PARK RD STE 2",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642439",
            "telephone_number": "610-504-6122",
            "fax_number": "610-365-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCELLI",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Videhi Patel, MD
• Nora Louiz Peischl
• Pennsylvania CVS Pharmacy, L.L.C.
• Dondre Devon Perry, MS, LBS
• Kara Petrillo
• Amy Mae Pidgeon, COTA/L
• Angela Pilla
• Melissa Pitts, MSPT
• Pocono Chiropractic Health Centre PC
• Pocono Foot & Ankle Consultants, P.C.

• Clinical Social Worker in Nazareth, PA
• Providers in Nazareth, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.