Donna A Bertolotti, MTS, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112259 Issued in MA

Practice address

67 Semont Rd
1St Floor
Dorchester Center, MA 02124-2505

Phone

(617) 448-0380

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

Yes

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.

• North End Community Health Committee Inc

  • Public Health & General Preventive Medicine Physician
  • Boston, MA
  • NPI 1780606608

  MA

  Medicare reassignment NPD

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

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

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104837103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SEMONT RD",
            "address_2": "1ST FLOOR",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242505",
            "telephone_number": "617-448-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SEMONT RD",
            "address_2": "1ST FLOOR",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242505",
            "telephone_number": "617-448-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLOTTI",
        "first_name": "DONNA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MTS, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela B. Bell, PH.D.
• Kayra Lexus Bell
• Laide Bello, M.D.
• Barbara M. Berland, M.D.
• Kevin Berner, MS OTR/L
• Terri Betts, PSY.D
• Willie A Bodden
• Theresa Caron Bognanno, CRNA
• Paul Elliott Boinay Jr., MD
• Gary C Bolgar, MD

• All providers in Dorchester Center, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.