MRS. MELISSA RENEE BERTOULIN MSW LICSW - NPI 1487674917

Q: What is Melissa Bertoulin's NPI number?

The NPI number for Melissa Bertoulin is 1487674917. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Ms. Melissa Renee Fast Msw Licsw.

Q: What is Melissa Bertoulin's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Bertoulin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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About Mrs. Melissa Renee Bertoulin Msw Licsw NPPES

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

MRS. MELISSA RENEE BERTOULIN MSW LICSW (NPI 1487674917) is an individual social worker in Manchester, New Hampshire, licensed in New Hampshire (1320) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487674917

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. MELISSA RENEE BERTOULINCredential: MSW LICSW

Location Address138 WEBSTER STREETManchester, NH 03104

Mailing AddressPo Box 3300Manchester, NH 03105-3300 · (603) 645-5977 · Fax (603) 645-5980

Phone(603) 645-5977

Fax(603) 645-5980

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487674917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NH · 1320

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

138 WEBSTER STREET, Manchester, NH 03104

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Other Names 1

Former Name (1)Ms. Melissa Renee Fast Msw Licsw

Other Identifiers 2

Medicare ID-Type UnspecifiedRE8631NH

Medicaid30424174NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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)

Mrs. Melissa Renee Bertoulin Msw Licsw 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

146 services42 patients

Other Providers at the Same Location NPPES 9

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

REBEKAH E HICKS PA-C

Physician Assistant