Individual provider · Type 1 NPI

Sara Nicole Beverly, LCSW

Clinical Social Worker · Greenville, SC

NPI number 1720564123 Active

Practice location

104 Innovation Dr Ste 2000
Greenville, SC 29607-5253

Fax (877) 379-2919

Mailing address

10 Pearl St Fl 2
Port Chester, NY 10573-4611

Other practice locations

  • 10 Pearl St Fl 2, Port Chester, NY 10573-4611 · (914) 265-2762

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15387 (SC)
Clinical Social Worker 1041C0700X093453 (NY)
Social Worker 104100000X103867 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1720564123

Sara Nicole Beverly, LCSW's National Provider Identifier is 1720564123, issued on Jul 18, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, SC. The record was last updated on Nov 12, 2025.