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BERTHA THERESIA CARRELLI LCSW
NPI 1639207806
Social Worker - Clinical in Hampton, VA

Active since March 01, 2007Opted out of Medicare · through Apr 1, 2028
600 MEDICAL DR, SUITE A, HAMPTON, VA 23666(757) 788-0600(757) 788-0932 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bertha Theresia Carrelli Lcsw NPPES

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

BERTHA THERESIA CARRELLI LCSW (NPI 1639207806) is an individual clinical provider in Hampton, Virginia, licensed in Virginia (0904006470) and active in the NPI registry since March 2007. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1639207806
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBERTHA THERESIA CARRELLICredential: LCSW
Location Address600 MEDICAL DR, SUITE AHampton, VA 23666-1769
Mailing Address300 Medical Dr, 2nd FloorHampton, VA 23666-1765 · (757) 788-0092 · Fax (757) 788-0969
Phone(757) 788-0600
Fax(757) 788-0932
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1639207806 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 VA · 0904006470
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.
600 MEDICAL DR, Hampton, VA 23666
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN014869H14VA
Medicaid1659424448VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bertha Theresia Carrelli Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

TAMARA DOZIER
Social Worker (Clinical)
600 MEDICAL DR
HAMPTON, VA 23666
Hampton City (757) 788-0600
DEBORAH A. CLARK LPC
Counselor (Professional)
600 MEDICAL DR, SUITE A
HAMPTON, VA 23666
Hampton City (757) 788-0600
MRS. CLAUDINE AYAH MULUH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
600 MEDICAL DR
HAMPTON, VA 23666
Hampton City (757) 788-0635
DEBBIE A. HOOD LPC
Counselor (Professional)
600 MEDICAL DR, SUITE A & B
HAMPTON, VA 23666
Hampton City (757) 788-0600
DANIEL GRUNHAUS LPC
Counselor (Professional)
600 MEDICAL DR
HAMPTON, VA 23666
Hampton City (757) 788-0600
PATRICIA HOLLOWAY LCSW
Social Worker (Clinical)
600 MEDICAL DR, SUITE A
HAMPTON, VA 23666
Hampton City (757) 788-0600
MS. RENEE CANNON LCSW
Social Worker (Clinical)
600 MEDICAL DR, SUITE A & B
HAMPTON, VA 23666
Hampton City (757) 788-0600
REBECCA L BUCK LCSW
Social Worker
600 MEDICAL DR
HAMPTON, VA 23666
Hampton City (757) 788-0600

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 Bertha Carrelli's NPI number?

The NPI number for Bertha Carrelli is 1639207806. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Bertha Carrelli located?

Bertha Carrelli practices at 600 Medical Dr Suite A, Hampton, VA 23666. The listed phone number is (757) 788-0600.

What is Bertha Carrelli's specialty?

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

Is Bertha Carrelli enrolled in Medicare?

No. Bertha Carrelli has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bertha Carrelli was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.