Shelli Altopp-Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089303 Issued in NY

Practice address

1126 Bald Hill Rd
Hornell, NY 14843-1262

Phone

(607) 324-7880

NPI assigned

Feb 6, 2020

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NY

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mosaic Health, Inc.

  dba Valley Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ilion, NY
  • NPI 1528428208
  Medicare reassignment NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rushville, NY
  • NPI 1336984178
  NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Utica, NY
  • NPI 1649587627
  NPD

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1205468477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 EAST AVE",
            "city": "NAPLES",
            "state": "NY",
            "postal_code": "145129555",
            "telephone_number": "336-268-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 BALD HILL RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431262",
            "telephone_number": "607-324-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTOPP-MILLER",
        "first_name": "SHELLI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Bethesda Drive Operating Company, LLC (Elderwood at Hornell)
• Abadan Medical PLLC
• Erica L Alger, LMHC
• Allegany Ophthalmology, PLLC
• American Homecare Supply New York
• Carlie Rae Amidon, OTR/L
• Colleen Dagon Amidon, RN
• Richard F Andolina Jr., D.D.S.
• Richard F. Andolina, D.D.S.

• Clinical Social Worker in Hornell, NY
• Providers in Hornell, 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 Feb 6, 2020; 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.