| Circelli Lcsw Support Services, Pllc | |
|
12 Overbrook Cir New Hartford NY 13413-2349 | |
| (315) 725-0461 | |
| Not Available |
| Full Name | Circelli Lcsw Support Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 12 Overbrook Cir, New Hartford, New York |
| Authorized Official Name and Position | Jill R Circelli (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3157250461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Circelli Lcsw Support Services, Pllc 12 Overbrook Cir New Hartford NY 13413-2349 Ph: (315) 725-0461 | Circelli Lcsw Support Services, Pllc 12 Overbrook Cir New Hartford NY 13413-2349 Ph: (315) 725-0461 |
| NPI Number | 1457845059 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 11/13/2019 |
| Medicare PECOS PAC ID | 5799031282 |
|---|---|
| Medicare Enrollment ID | O20180713001895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457845059 | NPI | - | NPPES |
| R080087-1 | Other | NY | LICENSED CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R080087-1 (New York) | Primary |
| Provider Name | Jill R Circelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760804272 PECOS PAC ID: 8325398126 Enrollment ID: I20180828003898 |
Professional Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Genesee St, New Hartford, NY 13413 Phone: 315-733-0520 Fax: 315-733-0518 | |
Andrea Meier, Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 610 French Rd, New Hartford, NY 13413 Phone: 315-765-0121 | |
Mohawk Valley Counseling Associatess Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 French Rd, New Hartford, NY 13413 Phone: 315-765-0121 Fax: 315-765-0351 | |
Suresh Rayancha Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Oxford Xing, Suite 6, New Hartford, NY 13413 Phone: 315-732-8880 Fax: 315-732-2705 | |
Sitrin Medical Rehabilition Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2050 Tilden Ave # 1000, New Hartford, NY 13413 Phone: 315-797-3114 Fax: 315-624-0474 | |
New Hartford Health Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Kellogg Rd, New Hartford, NY 13413 Phone: 315-735-0804 Fax: 315-735-0805 | |
Counseling Corner For Marriage And Family Therapy, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Oxford Rd, New Hartford, NY 13413 Phone: 888-851-6575 |