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DEVAN MARIE BERTOLINO LCSW
NPI 1093501827
Social Worker - Clinical in South Jordan, UT

Active since April 17, 2025PECOS Enrolled
10408 S 1055 W STE 101, SOUTH JORDAN, UT 84095(801) 655-5450(385) 225-9327 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Devan Marie Bertolino Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVAN MARIE BERTOLINO LCSW (NPI 1093501827) is an individual clinical provider in South Jordan, Utah, licensed in Utah (13412410-3501) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093501827
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEVAN MARIE BERTOLINOCredential: LCSW
Location Address10408 S 1055 W STE 101South Jordan, UT 84095-1511
Mailing Address1433 N 1200 WOrem, UT 84057-2449 · (801) 655-5450 · Fax (385) 225-9327
Phone(801) 655-5450
Fax(385) 225-9327
Sole ProprietorNo
Enumeration DateApril 17, 2025
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1093501827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 13412410-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10408 S 1055 W STE 101, South Jordan, UT 84095
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Other Names 1

Other Name (5)Devan Bertolino

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devan Marie Bertolino Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER MARIE RANGEL LCSW
Social Worker (Clinical)
10408 S 1055 W STE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 655-5450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devan Bertolino's NPI number?

The NPI number for Devan Bertolino is 1093501827. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Devan Bertolino located?

Devan Bertolino practices at 10408 S 1055 W Ste 101, South Jordan, UT 84095. The listed phone number is (801) 655-5450.

What is Devan Bertolino's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Devan Bertolino enrolled in Medicare?

Yes. Devan Bertolino is registered in the Medicare PECOS enrollment system.

What insurance does Devan Bertolino accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Devan Bertolino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Devan Bertolino was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.