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

Paul Matthew Bertolino, LCSW

Individual provider Clinical Social Worker · NPI 1083152524

Paul Matthew Bertolino, LCSW is a Clinical Social Worker in Green Cove Springs, Florida. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Florida and New Mexico.

Years since qualifying
8
Licensed in
FL, NM
In the registry since
2017
Specialties on file
4
What do these letters mean?
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

411 Walnut St # 24249
Green Cove Springs, FL 32043-3443
Phone: (575) 405-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SWB-2023-0904 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW17993 (FL)
Social Worker Taxonomy 104100000X · Licence SWB-2023-0904 (NM)
Social Worker Taxonomy 104100000X · Licence SW17993 (FL)

Record details

NPI number1083152524
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 4, 2017
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Cove Springs