Circelli LCSW Support Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R080087-1 Issued in NY

Legal business name

CIRCELLI LCSW SUPPORT SERVICES, PLLC

Practice address

12 Overbrook Cir
New Hartford, NY 13413-2349

Phone

(315) 725-0461

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jill R Circelli, LCSW-RNPI 1760804272

Title

Clinical Social Worker

Phone

(315) 725-0461

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Renee Circelli, LCSW

  • Clinical Social Worker
  • New Hartford, NY
  • NPI 1760804272
  Medicare reassignment Authorized official
• Deanna Marie Taurisano

  • Social Worker
  • New Hartford, NY
  • NPI 1871414847
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1457845059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OVERBROOK CIR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132349",
            "telephone_number": "315-725-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OVERBROOK CIR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132349",
            "telephone_number": "315-725-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCELLI LCSW SUPPORT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "CIRCELLI",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "315-725-0461",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R080087-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "R080087-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anuj Kumar Chopra, MD
• Constantine George Christie, DDS
• Dianna Cianfrocco, LCSW-R
• Holly Anne Cifonelli
• James M Cimo, M.D.
• Jill Renee Circelli, LCSW
• David C Clark, MD
• Linda V.W. Clark
• Cny Advanced Gynecology PC
• Cny Family Nurse Practitioner - Home and Office Services PC

• Clinical Social Worker in New Hartford, NY
• Providers in New Hartford, 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 Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.