Individual provider Active NPI

William Christopher Baerthlein, LICSW

  • Clinical Social Worker
  • Bedford, MA
National Provider Identifier
1720437197
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120784 Issued in MA
Practice address
200 Springs Rd
Mail Code: #122
Bedford, MA 01730-1114
Phone
(781) 382-5045
Fax
(781) 687-3422
NPI assigned
Jun 7, 2016
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 220830 MA
Clinical Social Worker 1041C0700X 120784 MA Primary

Addresses

Primary practice location

200 Springs Rd
Mail Code: #122
Bedford, MA 01730-1114

Mailing address

200 Springs Rd
Mail Code: #122
Bedford, MA 01730-1114
Phone (781) 382-5045

Other practice location 1

101 Middlesex Tpke Ste 6 #313
Burlington, MA 01803-4914
Phone (781) 720-4752

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120784MAMDClinical Social Worker
220830MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Otter Creek Psychotherapy, PLLC Clinical Current Accepting new patients

Locations

101 Middlesex Tpke
Ste 6
Burlington, MA 01803
Phone (617) 468-6404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1720437197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "address_2": "MAIL CODE: #122",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-382-5045",
            "fax_number": "781-687-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "address_2": "MAIL CODE: #122",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-382-5045",
            "fax_number": "781-687-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Middlesex Tpke Ste 6 #313",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034914",
            "country_code": "US",
            "telephone_number": "781-720-4752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAERTHLEIN",
        "first_name": "WILLIAM",
        "middle_name": "CHRISTOPHER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "220830",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.