Active NPI
Natalie Marie Keller-Bertolino, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1376778480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015668
- Practice address
- 9712 Bustleton Ave Apt 34
Philadelphia, PA 19115-3148 - Phone
- (484) 716-4525
- Fax
- (215) 646-3695
- NPI assigned
- May 18, 2009
- Sex
- Female
- Sole proprietor
- No
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 | CW015668 | PA | Primary |
Addresses
Primary practice location
9712 Bustleton Ave Apt 34
Philadelphia, PA 19115-3148
Mailing address
9712 Bustleton Ave Apt 34
Philadelphia, PA 19115-3148
Phone (484) 716-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190305000208 | PA | Practitioner - Clinical Social Worker | 3173862471 | Practice locations: Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9712 Bustleton Ave
Apt 34
Philadelphia, PA 19115-3148
Phone (215) 646-3695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW015668 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Schwarz and Associates Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1376778480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9712 BUSTLETON AVE APT 34",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191153148",
"telephone_number": "484-716-4525",
"fax_number": "215-646-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 BUSTLETON AVE APT 34",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191153148",
"telephone_number": "484-716-4525",
"fax_number": "215-646-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER-BERTOLINO",
"first_name": "NATALIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.