Jill Renee Circelli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080087-1 Issued in NY

Practice address

12 Overbrook Cir
New Hartford, NY 13413-2349

Phone

(315) 725-0461

NPI assigned

Jan 17, 2014

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

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.

• Circelli LCSW Support Services, PLLC

  • Clinical Social Worker
  • New Hartford, NY
  • NPI 1457845059
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1760804272",
    "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": {
        "last_name": "CIRCELLI",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080087-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.