Provider Demographics
NPI:1093516478
Name:PETRILLO, FRANCIS (MSW, LCSW, ACSW)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:PETRILLO
Suffix:
Gender:
Credentials:MSW, LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 LILLY DR UNIT 2311
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-1244
Mailing Address - Country:US
Mailing Address - Phone:973-568-2962
Mailing Address - Fax:
Practice Address - Street 1:2000 LILLY DR UNIT 2311
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-1244
Practice Address - Country:US
Practice Address - Phone:973-568-2962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045318001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical