Jeannette Sticco Bertucelli, R-LCSW:ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069435 Issued in NY

Practice address

Professional Plaza 233 7TH St.
2FL Suite
Garden City, NY 11530-4147

Phone

(516) 662-8258

Fax

(516) 385-2913

NPI assigned

Jul 10, 2006

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

Practice roles

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.

• Catholic Charities Neigborhood Services

  • Clinical Social Worker
  • Glendale, NY
  • NPI 1881910131
  NPD (past)
• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  NPD (past)
• Senior Options Systems LCSW LLP

  • Clinical Social Worker
  • Stony Brook, NY
  • NPI 1811905292
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1053345504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROFESSIONAL PLAZA 233 7TH ST.",
            "address_2": "2FL SUITE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304147",
            "telephone_number": "516-662-8258",
            "fax_number": "516-385-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROFESSIONAL PLAZA 233 7TH ST.",
            "address_2": "2FL SUITE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304147",
            "telephone_number": "516-662-8258",
            "fax_number": "516-385-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTUCELLI",
        "first_name": "JEANNETTE",
        "middle_name": "STICCO",
        "name_prefix": "Mrs.",
        "credential": "R-LCSW:ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Berkowitz, PA
• Michael William Bernardo, DPT
• Theodora Isabelle Berry, NP
• Christine Marie Bertrand, PSY.D.
• Rebecca Felicia Bertuccio
• Jonathan Beschloss
• Diana Besleaga, M.D.
• Alyssa Bestler
• Bethpage Medical, PLLC
• Dana Beyer

• Clinical Social Worker in Garden City, NY
• Providers in Garden City, 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 12, 2009; 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.