Peter Joseph Bertolini, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007463 Issued in CT

Practice address

1948 Chapel St
New Haven, CT 06515-2211

Phone

(203) 799-1188

Fax

(203) 298-4477

NPI assigned

Dec 29, 2010

Last updated

Dec 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Services for Kids, LLC

  • Community/Behavioral Health Agency
  • New Haven, CT
  • NPI 1689819336

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1497059703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152211",
            "telephone_number": "203-799-1188",
            "fax_number": "203-298-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152211",
            "telephone_number": "203-799-1188",
            "fax_number": "203-298-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLINI",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivankshi Berry, M.D.
• Susan A Bers, PH.D.
• Alexey Bersenev, PHD
• Robert Christian Bertheau, M.D.
• Lauren Bertocci
• Danielle Rachel Berube-Rausch, PA-C
• Hannah Berzinis
• Lauren Allegra Beslow, MD, MSCE
• Whitney Besse, M.D.
• Lilly Hannah Bessen, DMD

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.