Susan Helene Bertuglia, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020940 Issued in IL

Practice address

50 E Washington St Ste 301
Chicago, IL 60602-2142

Phone

(312) 252-9500

NPI assigned

Aug 7, 2022

Last updated

Aug 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blue Moon Senior Counseling of Illinois LLCGroup PAC ID 7012172893, 30 clinicians

Silver Rising Therapy LLCGroup PAC ID 8729584305, 24 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Moon Senior Counseling of Illinois LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1841562931
  Medicare reassignment Care Compare group NPD
• Silver Rising Therapy LLC

  • Clinical Social Worker
  • Burr Ridge, IL
  • NPI 1659254068
  Medicare reassignment Care Compare group NPD
• Sunblossom Counseling and Psychotherapy Services, PLLC

  • Community/Behavioral Health Agency
  • Westmont, IL
  • NPI 1023951357
  NPD Authorized official
• St James Cathedral Counseling Center

  dba Cathedral Counseling Center

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1720090780
  NPD

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1720715915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S WAIOLA AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252263",
            "telephone_number": "131-456-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E WASHINGTON ST STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022142",
            "telephone_number": "312-252-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTUGLIA",
        "first_name": "SUSAN",
        "middle_name": "HELENE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C Bertsch, M.D.
• Marco Bertucci Zoccali, MD
• Dominique Erica Bertucci, DMD
• Michael Bertucci
• Nicole Bertucci
• Ellysse Bertus, FNP-BC
• Melanie Rae Berube, LCSW
• Emily Kate Berwald, APN
• Marisa Michelle Berwald, BA
• Beryl-Denise Aguilera, Ma, Lmfta (B.D. Aguilera)

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.