Individual provider Active NPI

Frances P Bertolini, LCSW

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1376844845
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17346 Issued in FL
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

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
SW17346FLMDClinical Social Worker
C007717NCMDClinical Social Worker
079267NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Miracles Healing Centers Inc CurrentSince Sep 23, 2012 Accepting new patients
Wellcomemd NC Clinic PLLC PastSince Jun 1, 2020 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.

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

Verify at the official NPI Registry.