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

Last updated

Jul 8, 2007By the provider in NPPES

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 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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North End Community Health Committee Inc

  dba North End Community Health Center

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

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

{
    "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

• Clinical Social Worker in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• 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.