Jennifer K. Bertoncini, Licsw, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JENNIFER K. BERTONCINI, LICSW, LLC.

Practice address

80 Washington St Ste C17
Norwell, MA 02061-1729

Phone

(718) 424-0303

Fax

(781) 261-9663

NPI assigned

Apr 15, 2022

Organization subpart

No

Name

Kathleen Ann Southern

Title

Practice Manager

Phone

(978) 993-7168

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Kathryn Bertoncini, L.I.C.S.W.

  • Clinical Social Worker
  • Norwell, MA
  • NPI 1154540144

  Clinical, MA

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2025.

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1679216816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CROSS ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392663",
            "telephone_number": "617-721-2212",
            "fax_number": "781-261-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE C17",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611729",
            "telephone_number": "718-424-0303",
            "fax_number": "781-261-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER K. BERTONCINI, LICSW, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "SOUTHERN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "978-993-7168"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jaeger, M.S. CCC-SLP
• Salma Jafiq
• Emily Ann Barina Jameson, MS BCBA LABA
• Jennifer Janeczek
• Randy Alex Jean, PT
• Seong Wook Jeong, D.M.D
• JK Dental Group, P.C.
• Joel a Leonard DMD
• Seth Hayward Johnson
• Sherry Elizabeth Johnson, B.S., R.N. M.S. PHD

• All providers in Norwell, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.