Mrs. Licia L Berry-Berard, LICSW
Social Worker, Clinical in North Thetford, Vermont
1225505381- Practice location
- 312 Clay RD, North Thetford, VT 05054-0505
- Phone
- 802-698-2246
- Fax
- —
- Last updated
- October 18, 2023
Licia Lane Berry-Berard is a Social Worker, Clinical based in North Thetford, VT. Licia Lane Berry-Berard practices in North Thetford, VT and has the professional credentials of LICSW. The NPI Number for Licia Lane Berry-Berard is 1225505381 and holds a License No. 089134187 (VT). The current practice location address for Licia Lane Berry-Berard is 312 Clay RD, North Thetford, VT 05054-0505 and can be reached out via phone at 802-698-2246.
Provider Profile Details
- NPI Number
- 1225505381
- Provider Name
- Licia Lane Berry-Berard
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 312 Clay RD, North Thetford, VT 05054-0505
- Phone Number
- 802-698-2246
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 26, 2018
- Last Update Date
- October 18, 2023
- Certification Date
- October 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 312 Clay RD
North Thetford, VT 05054-0505 - City
- North Thetford
- State
- Vermont
- Zip
- 05054-0505
- Phone Number
- 802-698-2246
Provider Business Mailing Address Details
- Address
- Po Box 44
North Thetford, VT 05054 - City
- North Thetford
- State
- VT
- Zip
- 05054
- Phone Number
- 802-356-1580
- Fax Number
- 603-650-6392
License Information
- License Number
- 089134187
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near North Thetford, VT
View all Social Worker, Clinical providers in North Thetford →Frequently Asked Questions
What is the NPI number of Mrs. Licia L Berry-Berard, LICSW?
The NPI number of Mrs. Licia L Berry-Berard, LICSW is 1225505381. It was assigned on October 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Mrs. Licia L Berry-Berard, LICSW?
Mrs. Licia L Berry-Berard, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089134187.
Where does Mrs. Licia L Berry-Berard, LICSW practice?
The practice location is 312 Clay RD, North Thetford, VT 05054-0505. The office can be reached at 802-698-2246 (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 1225505381 directly on the NPPES registry website.