Kelly J Sitterly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091396 Issued in NY

Practice address

301 N Washington St Ste 2470
Herkimer, NY 13350-1299

Phone

(315) 867-1465

Fax

(315) 867-1469

NPI assigned

Jun 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Herkimer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Herkimer, NY
  • NPI 1720174436
  NPD (past)
• Herkimer County

  • Public Health or Welfare Agency
  • Herkimer, NY
  • NPI 1790129682
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1457845364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST STE 2470",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501299",
            "telephone_number": "315-867-1465",
            "fax_number": "315-867-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST STE 2470",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501299",
            "telephone_number": "315-867-1465",
            "fax_number": "315-867-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTERLY",
        "first_name": "KELLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099637-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Rogers Scudder, LCSW
• Yvonne Serravallo, LMSW
• Elizabeth Ann Servello
• Deepak Sharma, MD
• George Shehata, MD
• Kayla Smith, MS,OT
• Jessica Smithson, PT
• Kristen Garrigan Snyder-Branner, LCSW-R
• Andrew John Spiridigloizzi, D.D.S.
• Nancy Stack, RPH

• Clinical Social Worker in Herkimer, NY
• Providers in Herkimer, 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 Jun 11, 2025; 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.