Angellotti Supervision and Consultation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANGELLOTTI SUPERVISION AND CONSULTATION

Practice address

143 Main St
Otego, NY 13825-2326

Phone

(607) 435-4957

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Angellotti, LCSW-RNPI 1659604643

Title

Social Worker

Phone

(607) 435-4957

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad Angellotti, MA/LCSW

  • Clinical Social Worker
  • Oneonta, NY
  • NPI 1659604643
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1063164648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 MAIN ST",
            "city": "OTEGO",
            "state": "NY",
            "postal_code": "138252326",
            "telephone_number": "607-435-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 MAIN ST",
            "city": "OTEGO",
            "state": "NY",
            "postal_code": "138252326",
            "telephone_number": "607-435-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELLOTTI SUPERVISION AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ANGELLOTTI",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "607-435-4957",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alkesh Patel MD PLLC
• Olivia Grace Boecke
• Henry Brew
• Lee C Brown, CASAC
• Chad Angellotti
• Melissa Anne Fallon-Korb, PH.D.

• Clinical Social Worker in Otego, NY
• Providers in Otego, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.