Active NPI
Xana S. Bertino, LCSW, BCD
- Clinical Social Worker
- Doylestown, PA
National Provider Identifier
1215040704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014236
- Practice address
- 16 N Franklin St Ste 112-3
Doylestown, PA 18901-3536 - Phone
- (267) 935-9262
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW014236 | PA | Primary |
Addresses
Primary practice location
16 N Franklin St Ste 112-3
Doylestown, PA 18901-3536
Mailing address
16 N Franklin St Ste 112-3
Doylestown, PA 18901-3536
Phone (267) 935-9262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW014236 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1215040704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 N FRANKLIN ST STE 112-3",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189013536",
"telephone_number": "267-935-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 N FRANKLIN ST STE 112-3",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189013536",
"telephone_number": "267-935-9262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTINO",
"first_name": "XANA",
"middle_name": "S.",
"credential": "LCSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.