Staci Bertagna, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW64084 Issued in CA

Practice address

1388 Court St Ste a
Redding, CA 96001-1650

Phone

(530) 338-1452

NPI assigned

Feb 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drew S Place Psychotherapy Services, Inc.Group PAC ID 3476945833, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Drews Place Psychotherapy Services, Inc.

  • Clinical Social Worker
  • Redding, CA
  • NPI 1073272928
  Medicare reassignment Care Compare group NPD Authorized official
• Premier Labworks, Inc.

  • Clinical Medical Laboratory
  • Redding, CA
  • NPI 1649640251
  NPD (past)

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1689098147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 COURT ST STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011650",
            "telephone_number": "530-338-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 COURT ST STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011650",
            "telephone_number": "530-338-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTAGNA",
        "first_name": "STACI",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 36941",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW64084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard T Bergstrom, M.D.
• Mariana Bergtold
• Lena Berhane
• Louis D Bernstein, M.D.
• Jenna Berry, MSW
• April Bertain
• Rayna Bertolucci, LCSW
• Best Behavior, LLC
• Andrew K Best, M.D.
• Sally Ann Bethea-Holt, MASSAGE THERAPIST

• Clinical Social Worker in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.