Active NPI
Bethany Leanne Bertsch, LICSW
- Clinical Social Worker
- Rosemount, MN
National Provider Identifier
1548544125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19775
- Practice address
- 14184 Belfast CT
Rosemount, MN 55068-4962 - Phone
- (651) 334-1327
- NPI assigned
- Sep 30, 2011
- 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 | 19775 | MN | Primary |
Addresses
Primary practice location
14184 Belfast CT
Rosemount, MN 55068-4962
Mailing address
14184 Belfast CT
Rosemount, MN 55068-4962
Phone (651) 334-1327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19775 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birchview Services | Clinical | Current | 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.
-
- Clinical Social Worker
- Rosemount, MN
- NPI 1073476446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1548544125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14184 BELFAST CT",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550684962",
"telephone_number": "651-334-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14184 BELFAST CT",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550684962",
"telephone_number": "651-334-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTSCH",
"first_name": "BETHANY",
"middle_name": "LEANNE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.