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MR. GARY PHILIP BERTUCCELLI LCSW
NPI 1750078259
Social Worker - Clinical in Santa Clara, CA

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment
1048 MONROE ST APT 219, SANTA CLARA, CA 95050(408) 309-6251 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gary Philip Bertuccelli Lcsw NPPES

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

MR. GARY PHILIP BERTUCCELLI LCSW (NPI 1750078259) is an individual clinical provider in Santa Clara, California, licensed in California (LCSW24931) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1750078259
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. GARY PHILIP BERTUCCELLICredential: LCSW
Location Address1048 MONROE ST APT 219Santa Clara, CA 95050-4865
Mailing Address1048 Monroe St Apt 219Santa Clara, CA 95050-4865 · (408) 309-6251
Phone(408) 309-6251
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1750078259 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 CA · LCSW24931
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.
1048 MONROE ST APT 219, Santa Clara, CA 95050
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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

Mr. Gary Philip Bertuccelli 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 ID244695047
PECOS Enrollment IDI20230501001824
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 2

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, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
153 services15 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95050 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 $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

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 Gary Bertuccelli's NPI number?

The NPI number for Gary Bertuccelli is 1750078259. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Gary Bertuccelli located?

Gary Bertuccelli practices at 1048 Monroe St Apt 219, Santa Clara, CA 95050. The listed phone number is (408) 309-6251.

What is Gary Bertuccelli's specialty?

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

Is Gary Bertuccelli enrolled in Medicare?

Yes. Gary Bertuccelli 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.

When was this NPI record last updated?

The NPPES record for Gary Bertuccelli was last updated on April 24, 2023. 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.