Justin Andrew Bertolette-Rupley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024322 Issued in PA

Practice address

1101 Edgar St Ste C
York, PA 17403-2862

Phone

(717) 812-3066

NPI assigned

Jan 23, 2024

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1003678335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 MAYFIELD ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174063119",
            "telephone_number": "717-542-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EDGAR ST STE C",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032862",
            "telephone_number": "717-812-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLETTE-RUPLEY",
        "first_name": "JUSTIN",
        "middle_name": "ANDREW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lee Bernal, MD
• Earl W Bernstine, DO
• Megan Berry, RN
• Puja Shah Berry, M.D.
• Samuel Berry, DO
• Nicholas Joseph Bertoni, M.D.
• Luke Adam Bertorelli, DO
• Krystal Amanda Betancourt, MD
• Luz A Betancur, MS
• Bethany Christian Services

• Clinical Social Worker in York, PA
• Providers in York, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.