Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LICIA LANE BERRY-BERARD, LICSW
Active Sole ProprietorMRS. LICIA LANE BERRY-BERARD, LICSW is a Clinical Social Worker healthcare provider located in NORTH THETFORD, Vermont. NPI 1225505381 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NORTH THETFORD, VT
Registration Details
- NPI Number
- 1225505381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2018 (7.762036297822 yrs)
- Last Updated
- Oct 18, 2023
- License
-
089134187 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
312 CLAY RDNORTH THETFORD, VT, 050540505Browse VT providers · Browse ZIP 05054
- Phone
- 8026982246
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.