Marilyn Sandra Pettinati, LCSW
NPI 1811934995ActiveIndividual· Counselor, Mental Health· Fair Lawn, NJ
Counselor, Mental Health (LCSW) in Fair Lawn, New Jersey, trained at Fordham University School of Medicine (class of 1983). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1811934995 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | May 31, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 44SCOO405700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NJ) |
|---|
Education and affiliations
| Medical school | Fordham University School of Medicine |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Other mental health counselors in Fair Lawn
- 1043581267
- 1073908018
- 1861554388
- 1275060766
- 1558093773
- 1902303035
- 1932817244
- 1851064273
- 1386919942
- 1669961553
- 1265212401
- 1902064843
All 51 mental health counselors in Fair Lawn · All mental health counselors in New Jersey