Lori Eileen Bertanzetti, LCSW

Key facts

NPI

1629292008

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

CW016742 (PA)

Practice address

1385 Pocono Blvd
Mount Pocono, PA 18344-1678

Phone

(570) 460-4379

Fax

(570) 421-3600

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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.

• Forensic Counseling Associates LLC Mental Health Counselor · Mt. Pocono, PA · NPI 1821304544
  Medicare reassignment NPD Authorized official PA
• Forensic Counseling Associates, LLC Professional Counselor · Mount Pocono, PA · NPI 1174951933
  NPD

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 10, 2026.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1629292008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 POCONO BLVD",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441678",
            "telephone_number": "570-460-4379",
            "fax_number": "570-421-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 POCONO BLVD",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441678",
            "telephone_number": "570-460-4379",
            "fax_number": "570-421-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTANZETTI",
        "first_name": "LORI",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016742",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05367800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101857158",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pocono, PA

• Asian Institute of Healing Arts, P.C.
• Christopher L. Bahara, D.M.D.
• Makenzie Elizabeth Batt
• Best Vision Center Inc
• Paul W. Bisio, D.O.
• Sylvia M. Bolock, D.O.
• Bracey'S Mount Pocono, Inc.
• Lisa Brown, MS

All providers in Mount Pocono, PA · Clinical Social Worker in Pennsylvania