- Practice location
- 321 Route 113, Thetford, VT 05054
- Phone
- 802-565-0424
- Fax
- —
- Last updated
- January 2, 2024
Licia Berry-Berard, MSW, Licsw LLC is a healthcare organization based in Thetford, VT. Licia Berry-Berard, MSW, Licsw LLC practices in Thetford, VT. The NPI Number for Licia Berry-Berard, MSW, Licsw LLC is 1124891809. The current practice location address for Licia Berry-Berard, MSW, Licsw LLC is 321 Route 113, Thetford, VT 05054 and can be reached out via phone at 802-565-0424.
Provider Profile Details
- NPI Number
- 1124891809
- Provider Name
- Licia Berry-Berard, MSW, Licsw LLC
- Provider Entity Type
- Organization
- Address
- 321 Route 113, Thetford, VT 05054
- Phone Number
- 802-565-0424
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Licia Lane Berry-Berard, MSW, LICSW · Owner · 802-698-2246
- Other Names
- Licia Berry-Berard, MSW, Licsw LLC (Former Legal Business Name)
- Provider Enumeration Date
- November 3, 2023
- Last Update Date
- January 2, 2024
- Certification Date
- December 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 321 Route 113
Thetford, VT 05054 - City
- Thetford
- State
- Vermont
- Zip
- 05054
- Phone Number
- 802-565-0424
Provider Business Mailing Address Details
- Address
- Po Box 44
North Thetford, VT 05054-0044 - City
- North Thetford
- State
- VT
- Zip
- 05054-0044
- Phone Number
- 802-698-2246
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Thetford, VT
View all Community/Behavioral Health providers in Thetford →Frequently Asked Questions
What is the NPI number of Licia Berry-Berard, MSW, Licsw LLC?
The NPI number of Licia Berry-Berard, MSW, Licsw LLC is 1124891809. It was assigned on November 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Licia Berry-Berard, MSW, Licsw LLC?
Licia Berry-Berard, MSW, Licsw LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Licia Berry-Berard, MSW, Licsw LLC practice?
The practice location is 321 Route 113, Thetford, VT 05054. The office can be reached at 802-565-0424 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124891809 directly on the NPPES registry website.