Individual provider Active NPI

Veronica Ulery, LICSW

  • Clinical Social Worker
  • Berwick, ME
National Provider Identifier
1225453418
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2276 Issued in NH
Practice address
1 Second St
Berwick, ME 03901
Phone
(603) 836-9124
NPI assigned
Feb 25, 2014
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X 2276 NH Primary

Addresses

Primary practice location

1 Second St
Berwick, ME 03901

Mailing address

20 Tri City Plaza Unit 0001
#1012
Somersworth, NH 03878-3277
Phone (603) 836-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 22, 2022 through Nov 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2276NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Holistic Center PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1225453418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TRI CITY PLAZA UNIT 0001",
            "address_2": "#1012",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038783277",
            "telephone_number": "603-836-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SECOND ST",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "03901",
            "telephone_number": "603-836-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULERY",
        "first_name": "VERONICA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, ME

Sources for this page

Verify at the official NPI Registry.