KELLY CORINNE BERTHOLD MSW, LCSW
NPI 1376078089
Social Worker - Clinical in State College, PA

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment
315 S ALLEN ST STE 326, STATE COLLEGE, PA 16801(814) 865-2191(148) 638-1331 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2020, Mar 31, 2020 (2 updates tracked since 2020).

About Kelly Corinne Berthold Msw, Lcsw NPPES

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

KELLY CORINNE BERTHOLD MSW, LCSW (NPI 1376078089) is an individual clinical provider in State College, Pennsylvania and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in State College, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376078089
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY CORINNE BERTHOLDCredential: MSW, LCSW
Location Address315 S ALLEN ST STE 326State College, PA 16801
Mailing Address1850 E Park Street, Suite 207State College, PA 16803-6706 · (814) 235-2480 · Fax (814) 235-2452
Fax(148) 638-1331
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
NPI 1376078089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

315 S ALLEN ST STE 326, State College, PA 16801

Secondary Practice Location 1

Location 1315 S Allen St Ste 326State College, PA 16801-4851 · Phone (814) 308-0704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Corinne Berthold Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800225343
PECOS Enrollment IDI20200403000210
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 16801 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 14

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
315 S ALLEN ST STE 326
STATE COLLEGE, PA 16801
Counselor (Mental Health)
315 S ALLEN ST STE 326
STATE COLLEGE, PA 16801
Counselor
315 S ALLEN ST STE 326
STATE COLLEGE, PA 16801
Counselor (Professional)
315 S ALLEN ST STE 326
STATE COLLEGE, PA 16801
Counselor
315 S ALLEN ST STE 326
STATE COLLEGE, PA 16801
Social Worker
315 S ALLEN ST STE 326
STATE COLLEGE, PA 16801
Counselor (Mental Health)
315 S ALLEN ST STE 326
STATE COLLEGE, PA 16801
Counselor
315 S ALLEN ST STE 326
STATE COLLEGE, PA 16801

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 Kelly Berthold's NPI number?

The NPI number for Kelly Berthold is 1376078089. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Kelly Berthold located?

Kelly Berthold practices at 315 S Allen St Ste 326, State College, PA 16801. The listed phone number is (814) 865-2191.

What is Kelly Berthold's specialty?

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

Is Kelly Berthold enrolled in Medicare?

Yes. Kelly Berthold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Berthold was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.