Kendra Elise O'Berry, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007182 Issued in GA

Practice address

534 Dove St
North Augusta, SC 29841-2982

Phone

(404) 759-5467

NPI assigned

Apr 12, 2019

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• People United Counseling & Consulting

  dba People United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Augusta, SC
  • NPI 1780380394

  GA

  Medicare reassignment NPD Authorized official
• Notary & Things, LLC

  dba NT Services of the Carolina's - NTSC/NCS

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1801500541

  SC

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1184187353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 DOVE ST",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412982",
            "telephone_number": "404-759-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 DOVE ST",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412982",
            "telephone_number": "404-759-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BERRY",
        "first_name": "KENDRA",
        "middle_name": "ELISE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-12-21",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSURE",
            "identifier": "12108",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Norton, PH.D.
• Nostrebor Performance Associates (NPA Physical Therapy & Wellness Center)
• Nouveau Hair and Wigs LLC
• Malorie Kosht Novak, PT
• Nra-North Augusta, South Carolina, LLC (Fresenius Medical Care Atomic Road)
• Lindsey Oertel
• James Alan Oester, PHARM.D
• Grace Isoken Ogala, N.P
• Mark Orgel, MD
• Aprile Osborn

• Clinical Social Worker in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.