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JENNIFER K. BERTONCINI, LICSW, LLC.
NPI 1679216816
Social Worker - Clinical in Norwell, MA

Active since April 15, 2022
80 WASHINGTON ST STE C17, NORWELL, MA 02061(718) 424-0303(781) 261-9663 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, Nov 21, 2025, Apr 15, 2022 (3 updates tracked since 2022).

About Jennifer K. Bertoncini, Licsw, Llc. NPPES

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

JENNIFER K. BERTONCINI, LICSW, LLC. (NPI 1679216816) is a healthcare organization registered as a clinical in Norwell, Massachusetts and active in the NPI registry since April 2022. The organization lists Kathleen Ann Southern, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1679216816
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJENNIFER K. BERTONCINI, LICSW, LLC.
Location Address80 WASHINGTON ST STE C17Norwell, MA 02061-1729
Mailing Address218 Cross StHanover, MA 02339-2663 · (617) 721-2212 · Fax (781) 261-9633
Phone(718) 424-0303
Fax(781) 261-9663
Organization SubpartNo
Authorized OfficialKathleen Ann SouthernPractice Manager · (978) 993-7168
Enumeration DateApril 15, 2022
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1679216816 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.
80 WASHINGTON ST STE C17, Norwell, MA 02061
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer K. Bertoncini, Licsw, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer K. Bertoncini, Licsw, LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Bertoncini, L.I.C.S.W.
Clinical Social Worker
NPI 1154540144
80 WASHINGTON ST STE C17
Norwell, MA 02061
(781) 424-0303
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer K. Bertoncini, Licsw, LLC.'s NPI number?

The NPI number for Jennifer K. Bertoncini, Licsw, LLC. is 1679216816. It was assigned to this organization in the NPPES registry on April 15, 2022.

Where is Jennifer K. Bertoncini, Licsw, LLC. located?

Jennifer K. Bertoncini, Licsw, LLC. is located at 80 Washington St Ste C17, Norwell, MA 02061. The listed phone number is (718) 424-0303.

What is Jennifer K. Bertoncini, Licsw, LLC.'s specialty?

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

Is Jennifer K. Bertoncini, Licsw, LLC. enrolled in Medicare?

Yes. Jennifer K. Bertoncini, Licsw, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer K. Bertoncini, Licsw, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jennifer K. Bertoncini, Licsw, LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer K. Bertoncini, Licsw, LLC. was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.