2026 NPPES data Clinical Social Worker NPI 1366261448
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SPELA BERTONCELJ

Clinical Social Worker in RED LODGE, Montana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
What the federal data reveals: SPELA BERTONCELJ is a Clinical Social Worker ([object Object]) practicing in RED LODGE, Montana .

What stands out: SPELA BERTONCELJ specializes in Clinical Social Worker and practices in RED LODGE, Montana, listed in the federal CMS National Provider Identifier registry. Every detail on this page comes straight from federal CMS records, with no proprietary rating applied.

SPELA BERTONCELJ at a glance

Quality data not reported

NPI registry status

Active

Issued 10/07/2024

NPI 1366261448

Primary specialty

Clinical Social Worker

High-volume

272,898 US NPIs in this specialty

Specialty distribution in Montana

How Clinical Social Worker compares to other specialties among Montana providers

Montana providers

Clinical Social Worker share within Montana

1. Clinical Social Worker42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Social Worker share within Montana

Specialty board-certification context

Estimated specialty board-certified rate — Clinical Social Worker (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Clinical Social Worker ABMS/AOA estimate

Est. board-certified rate (Clinical Social Worker) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Clinical Social Worker) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SPELA BERTONCELJ is a Clinical Social Worker provider practicing in RED LODGE, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1366261448. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SPELA BERTONCELJ appears in the CMS NPPES registry as a Clinical Social Worker provider at PO BOX 2151, RED LODGE, MT, 59068, with a listed phone of (406) 698-3077. NPI 1366261448 was issued on 10/07/2024. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERTONCELJ most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Clinical Social Worker providers operate outside Part D entirely.

Clinical Social Worker is a high-volume specialty nationwide, with 272,898 enrolled providers across 56 states and an average of 716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

PO BOX 2151
RED LODGE, MT 59068

Provider Details

NPI 1366261448
Specialty Clinical Social Worker
Gender Female
NPI Issued 10/07/2024

Clinical Social Worker Overview

How SPELA BERTONCELJ fits within the Clinical Social Worker landscape nationally.

272,898
Clinical Social Worker Providers in US
56
States with Clinical Social Worker
716
Avg Claims per Provider

Nearby Clinical Social Worker Providers in Montana

Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as BERTONCELJ.

Compare Clinical Social Worker nationally: see state-by-state distribution →

Frequently Asked Questions

What is SPELA BERTONCELJ's specialty?
SPELA BERTONCELJ specializes in Clinical Social Worker and practices in RED LODGE, Montana.
Where is SPELA BERTONCELJ located?
SPELA BERTONCELJ is located at PO BOX 2151, RED LODGE, MT, 59068. Phone: (406) 698-3077.
What is SPELA BERTONCELJ's NPI number?
SPELA BERTONCELJ's National Provider Identifier (NPI) is 1366261448, issued on 10/07/2024.
How many Clinical Social Worker providers are there in the US?
There are 272,898 Clinical Social Worker providers across 56 states in the US. The average Clinical Social Worker provider writes 716 Medicare Part D claims per year.
Does SPELA BERTONCELJ accept Medicare?
SPELA BERTONCELJ appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SPELA BERTONCELJ's credentials?
SPELA BERTONCELJ's NPI is 1366261448. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology