Individual provider Active NPI

Beth Ann Rontal, MSW

  • Clinical Social Worker
  • West Roxbury, MA
National Provider Identifier
1467699348
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114093 Issued in MA
Practice address
540 VFW Parkway
Suite 7
West Roxbury, MA 02132
Phone
(617) 571-8146
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114093 MA Primary

Addresses

Primary practice location

540 VFW Parkway
Suite 7
West Roxbury, MA 02132

Mailing address

42 Southbourne Rd
Jamaica Plain, MA 02130-4633
Phone (617) 522-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000809 MA Practitioner - Clinical Social Worker 3577619659 Reassigns benefits to 1 organization
Practice locations: Brookline, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

124 Harvard St
Suite 4
Brookline, MA 02446-6439
Phone (617) 522-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114093MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership in Wellness, LLC CurrentSince Jan 1, 2023 Accepting new patients
Community Services Institute, Inc. PastSince Mar 11, 2012 Accepting new patients

Locations

124 Harvard St
Ste 4
Brookline, MA 02446
Phone (617) 522-6611

Organizations & group practices 2

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1467699348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SOUTHBOURNE RD",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304633",
            "telephone_number": "617-522-6611",
            "fax_number": "617-522-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 VFW PARKWAY",
            "address_2": "SUITE 7",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "617-571-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONTAL",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.