Individual provider Active NPI

Devon E Bortzfield

  • Clinical Social Worker
  • Hellam, PA
National Provider Identifier
1063377059
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023149 Issued in PA
Practice address
77 Shoe House Rd
Hellam, PA 17406-8052
Phone
(717) 755-1033
NPI assigned
Dec 22, 2025
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW023149 PA Primary

Addresses

Primary practice location

77 Shoe House Rd
Hellam, PA 17406-8052

Mailing address

77 Shoe House Rd
Hellam, PA 17406-8052
Phone (717) 755-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 25, 2026 through Feb 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW023149PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1063377059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SHOE HOUSE RD",
            "city": "HELLAM",
            "state": "PA",
            "postal_code": "174068052",
            "telephone_number": "717-755-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SHOE HOUSE RD",
            "city": "HELLAM",
            "state": "PA",
            "postal_code": "174068052",
            "telephone_number": "717-755-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTZFIELD",
        "first_name": "DEVON",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hellam, PA

Sources for this page

Verify at the official NPI Registry.