Provider Demographics
NPI:1861209934
Name:BERTOCCHI, JENNIFER HELEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:HELEN
Last Name:BERTOCCHI
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 NINETEEN NORTH DR APT 18
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5317
Mailing Address - Country:US
Mailing Address - Phone:412-977-3609
Mailing Address - Fax:
Practice Address - Street 1:745 E WARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-1566
Practice Address - Country:US
Practice Address - Phone:412-381-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0254791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical