CIRCELLI LCSW SUPPORT SERVICES, PLLC
NPI 1457845059
Social Worker - Clinical in New Hartford, NY

Active since June 18, 2018
12 OVERBROOK CIR, NEW HARTFORD, NY 13413(315) 725-0461 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 13, 2019, Aug 2, 2018, Jun 18, 2018 (3 updates tracked since 2018).

About Circelli Lcsw Support Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CIRCELLI LCSW SUPPORT SERVICES, PLLC (NPI 1457845059) is a healthcare organization registered as a clinical in New Hartford, New York and active in the NPI registry since June 2018. The organization lists Jill R Circelli, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1457845059
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCIRCELLI LCSW SUPPORT SERVICES, PLLC
Location Address12 OVERBROOK CIRNew Hartford, NY 13413-2349
Mailing Address12 Overbrook CirNew Hartford, NY 13413-2349 · (315) 725-0461
Organization SubpartNo
Authorized OfficialJill R CircelliClinical Social Worker · (315) 725-0461
Enumeration DateJune 18, 2018
Last NPPES UpdateNovember 13, 20193 updates tracked since enumeration
✔ NPI 1457845059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R080087-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12 OVERBROOK CIR, New Hartford, NY 13413

Other Identifiers 1

OtherR080087-1NY · Licensed Clinical Social Worker

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Circelli Lcsw Support Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Circelli Lcsw Support Services, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1760804272
12 OVERBROOK CIR
New Hartford, NY 13413
(315) 725-0461
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Circelli Lcsw Support Services, PLLC's NPI number?

The NPI number for Circelli Lcsw Support Services, PLLC is 1457845059. It was assigned to this organization in the NPPES registry on June 18, 2018.

Where is Circelli Lcsw Support Services, PLLC located?

Circelli Lcsw Support Services, PLLC is located at 12 Overbrook Cir, New Hartford, NY 13413. The listed phone number is (315) 725-0461.

What is Circelli Lcsw Support Services, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Circelli Lcsw Support Services, PLLC enrolled in Medicare?

Yes. Circelli Lcsw Support Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Circelli Lcsw Support Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Circelli Lcsw Support Services, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Circelli Lcsw Support Services, PLLC was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.