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SPELA BERTONCELJ
NPI 1366261448
Social Worker - Clinical in Red Lodge, MT

Active since October 07, 2024PECOS Enrolled
PO BOX 2151, RED LODGE, MT 59068(406) 698-3077 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Spela Bertoncelj NPPES

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

SPELA BERTONCELJ (NPI 1366261448) is an individual clinical provider in Red Lodge, Montana, licensed in Montana (BBH-LCSW-LIC-72765) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366261448
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSPELA BERTONCELJ
Location AddressPO BOX 2151Red Lodge, MT 59068-2151
Mailing AddressPo Box 2151Red Lodge, MT 59068-2151 · (406) 698-3077
Phone(406) 698-3077
Sole ProprietorYes
Enumeration DateOctober 7, 2024
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1366261448 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 MT · BBH-LCSW-LIC-72765
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.
PO BOX 2151, Red Lodge, MT 59068
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.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)

Spela Bertoncelj 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 59068 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 $56.81 – $172.26
Typical copayment $0.00 (range $14.20 – $43.06)
Most-billed visit code NA
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

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 Spela Bertoncelj's NPI number?

The NPI number for Spela Bertoncelj is 1366261448. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Spela Bertoncelj located?

Spela Bertoncelj practices at PO Box 2151, Red Lodge, MT 59068. The listed phone number is (406) 698-3077.

What is Spela Bertoncelj's specialty?

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

Is Spela Bertoncelj enrolled in Medicare?

Yes. Spela Bertoncelj is registered in the Medicare PECOS enrollment system.

What insurance does Spela Bertoncelj accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Spela Bertoncelj 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 Spela Bertoncelj was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.