Active NPI
Frances P Bertolini, LCSW
- Clinical Social Worker
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17346
- Practice address
- 9114 58TH Dr E Ste 104
Bradenton, FL 34202-9086 - Phone
- (704) 458-3025
- NPI assigned
- Nov 15, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079267 | NY | |
| Clinical Social Worker | 1041C0700X | C007717 | NC | |
| Clinical Social Worker | 1041C0700X | SW17346 | FL | Primary |
Addresses
Primary practice location
9114 58TH Dr E Ste 104
Bradenton, FL 34202-9086
Mailing address
PO Box 110201
Lakewood RCH, FL 34211-0003
Phone (704) 458-3025
Other practice location 1
80 Orville Dr Ste 100
Bohemia, NY 11716-2505
Phone (704) 458-3025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121212000424 | NC | Practitioner - Clinical Social Worker | 8729230073 | Reassigns benefits to 1 organization |
| I20180423001861 | NY | Practitioner - Clinical Social Worker | 8729230073 | Reassigns benefits to 1 organization |
| I20200721000734 | FL | Practitioner - Clinical Social Worker | 8729230073 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
80 Orville Dr
Suite 100
Bohemia, NY 11716-2505
Phone (704) 458-3025
9114 58TH Dr E
Suite 104
Bradenton, FL 34202-9086
Phone (704) 458-3025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17346 | FL | MD | Clinical Social Worker |
| C007717 | NC | MD | Clinical Social Worker |
| 079267 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracles Healing Centers Inc | Current | Accepting new patients | |
| Wellcomemd NC Clinic PLLC | Past | Accepting new patients |
Locations
7480 Waterside Loop Rd
Ste 204
Denver, NC 28037
Phone (704) 483-3783
134 Professional Park Dr
Ste 400
Mooresville, NC 28117
Phone (704) 664-1009
111 Kilson Dr
Ste 201
Mooresville, NC 28117
Phone (704) 444-0999
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Mooresville, NC
- NPI 1013525278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1376844845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110201",
"city": "LAKEWOOD RCH",
"state": "FL",
"postal_code": "342110003",
"telephone_number": "704-458-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9114 58TH DR E STE 104",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342029086",
"telephone_number": "704-458-3025"
}
],
"practiceLocations": [
{
"address_1": "80 Orville Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Bohemia",
"state": "NY",
"postal_code": "117162505",
"country_code": "US",
"telephone_number": "704-458-3025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERTOLINI",
"first_name": "FRANCES",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-15",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079267",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007717",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW17346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.