Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Corinne Berthold, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1376078089

Kelly Corinne Berthold, MSW, LCSW is a Clinical Social Worker in State College, Pennsylvania. Qualified in 2017, 9 years ago. Practices with The Pennsylvania State University, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

315 S Allen St Ste 326
State College, PA 16801
Phone: (814) 865-2191
Fax: (148) 638-1331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 S Allen St Ste 326, State College, PA 16801-4851 — (814) 308-0704

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1376078089
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Pennsylvania State University — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in State College