Phetsamon Dilullo
Social Worker - Clinical • Windsor, CT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phetsamon Dilullo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Phetsamon Dilullo was a registered Social Worker - Clinical practicing in Windsor, CT. Throughout an active medical career spanning 12 years, Phetsamon Dilullo provided care at the practice location at 32 MAPLE AVE until profile deactivation on 2019-02-11.
Phetsamon Dilullo was affiliated with Amherst Psychotherapy Practice Pc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.
Historical Medicare Part B clinical services included psychotherapy, group psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
32 Maple Ave
Windsor, CT 060952922
Medicare Profile & Education
Other
2007
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Social Worker - Clinical in Windsor, CT
Practicing in Windsor, CT (7959 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
90834
Psychotherapy, 45 minutes
|
70 | 12 | $170.00 | $78.38 |
|
90853
Group psychotherapy
|
51 | 11 | $70.00 | $21.29 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1041C0700X
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Hospital & Practice Group Affiliations
Amherst Psychotherapy Practice Pc
48 N Pleasant St, Amherst, MA 010021758
Phone: 4132008024
Secondary Practice Locations
32 Maple Ave
Windsor, CT 060952922
Phone: 8609739171
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Licensed Clinical Social Worker, Licensed Alcohol and Drug Counselor
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker - Clinical
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker - Clinical
Master of Social Work, Licensed Clinical Social Worker, Licensed Independent Clinical Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 32 MAPLE AVE, WINDSOR, CT 060952922 (Tel: 8609739171)
Registered at 32 MAPLE AVE, WINDSOR, CT 060952922 (Tel: 8609739171)
Recorded as PHETSAMON DILULLO
Social Worker (License #010163 in CT)
Record deactivated on February 11, 2019
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
32 Maple Ave
Windsor, CT 060952922
Phone: 8609739171
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