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PATRICIA LAUREN BERTHELOT LMSW
NPI 1689044406
Social Worker - Clinical in Traverse City, MI

Active since October 06, 2015PECOS EnrolledAccepts Medicare Assignment
880 MUNSON AVE STE G, TRAVERSE CITY, MI 49686(231) 944-0384 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2022, Jun 19, 2018 (2 updates tracked since 2018).

About Patricia Lauren Berthelot Lmsw NPPES

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

PATRICIA LAUREN BERTHELOT LMSW (NPI 1689044406) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801098702) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689044406
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePATRICIA LAUREN BERTHELOTCredential: LMSW
Location Address880 MUNSON AVE STE GTraverse City, MI 49686-3661
Mailing Address8448 Valley Rd NwRapid City, MI 49676-9516 · (231) 944-0384
Phone(231) 944-0384
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 6, 2015
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1689044406 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 MI · 6801098702
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.
880 MUNSON AVE STE G, Traverse City, MI 49686
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Patricia Lauren Berthelot Lmsw 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 ID5496189128
PECOS Enrollment IDI20200106000429
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 49686 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

WHISPERING PINES COUNSELING LLC
Social Worker (Clinical)
880 MUNSON AVE STE G
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 403-3020
KALKASKA COUNSELING SERVICES, PLLC
Social Worker (Clinical)
880 MUNSON AVE STE G
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 944-0384
MRS. ECHO IRENE DEAN LMSW, RPT
Social Worker (Clinical)
880 MUNSON AVE STE G
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 403-3020

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 Patricia Berthelot's NPI number?

The NPI number for Patricia Berthelot is 1689044406. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Patricia Berthelot located?

Patricia Berthelot practices at 880 Munson Ave Ste G, Traverse City, MI 49686. The listed phone number is (231) 944-0384.

What is Patricia Berthelot's specialty?

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

Is Patricia Berthelot enrolled in Medicare?

Yes. Patricia Berthelot 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.

What insurance does Patricia Berthelot accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Patricia Berthelot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patricia Berthelot was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.