Chad Angellotti, MA/LCSW

Individual provider Active NPI Clinical Social Worker · Oneonta, NY

NPI 1659604643 · NPPES record last updated Jan 16, 2015

Key facts

NPI
1659604643
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
242 Main St
Oneonta, NY 13820-2527
Phone
(607) 433-2343
Fax
(607) 431-1033
NPI assigned
Sep 9, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Otsego (9 clinicians)

Practice addresses (Care Compare)

242 Main St
Oneonta, NY 13820-2527
Phone (607) 433-2343

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130814000906 NY Practitioner - Clinical Social Worker 0749422145 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Angellotti Supervision and Consultation Clinical Current Accepting new patients
Chad Angellotti Clinical Current Accepting new patients
County of Otsego Current
since Dec 28, 2013
Accepting new patients
County of Otsego Current
since Dec 28, 2013
Accepting new patients

Locations

242 Main St
Oneonta, NY 13820
Phone (607) 431-1030

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

242 Main St
Oneonta, NY 13820-2527

Mailing address

242 Main St
Oneonta, NY 13820-2527
Phone (607) 433-2343

Other providers in Oneonta, NY

All providers in Oneonta, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.