Individual provider Active NPI

Janet Anne Bertelli, MSW, LCSW

  • Clinical Social Worker
  • Allendale, NJ
National Provider Identifier
1558533729
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00451900 Issued in NJ
Practice address
74 E Allendale Ave
Allendale, NJ 07401-2017
Phone
(201) 825-1835
Fax
(201) 818-5012
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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 44SC00451900 NJ Primary

Addresses

Primary practice location

74 E Allendale Ave
Allendale, NJ 07401-2017

Mailing address

74 E Allendale Ave
Allendale, NJ 07401-2017
Phone (201) 825-1835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080402000540 NJ Practitioner - Clinical Social Worker 7517044415 Practice locations: Allendale, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

74 E Allendale Ave
Allendale, NJ 07401-2017
Phone (201) 406-5868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00451900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1558533729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 E ALLENDALE AVE",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074012017",
            "telephone_number": "201-825-1835",
            "fax_number": "201-818-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E ALLENDALE AVE",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074012017",
            "telephone_number": "201-825-1835",
            "fax_number": "201-818-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTELLI",
        "first_name": "JANET",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00451900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, NJ

Sources for this page

Verify at the official NPI Registry.