Andrew Bertell, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L12108 Issued in OR

Practice address

340 A St.
Building One, Suite 203
Ashland, OR 97520-1200

Phone

(443) 240-8275

NPI assigned

Sep 30, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Andrew B. Bertell, LCSW-C

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1740731199
  NPD (past) Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1194034769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 8TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202037",
            "telephone_number": "443-240-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 A ST.",
            "address_2": "BUILDING ONE, SUITE 203",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201200",
            "telephone_number": "443-240-8275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112706",
            "country_code": "US",
            "telephone_number": "443-240-8276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTELL",
        "first_name": "ANDREW",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19539",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015804",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L12108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Paul Bernard, PHARM D
• Jennifer Bernoulli, L.M.T.
• Eli Bernstein, LMT
• Ellen Constance Berry
• Susan Chipp Berryhill, L.P.C.
• Camille Bianco, L.P.C.
• Julie Bibleheimer, M.A.O.M
• Adderly Bigelow
• Kelly M Birch
• Elizabeth Ann Birmingham, M.A. CCC-SLP

• Clinical Social Worker in Ashland, OR
• Providers in Ashland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.