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

Q: 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.

Q: What is Kelly Berthold's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Berthold was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

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: August 16, 2026.

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

On this page

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 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

Phone(814) 865-2191

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

Open in Google Maps ↗

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.

KEYS TO COMMUNICATION

Clinic/Center (Mental Health (Including Community Mental Health Center))