Active NPI
Sara Nicole Beverly, LCSW
- Clinical Social Worker
- Greenville, SC
National Provider Identifier
1720564123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15387
- Practice address
- 104 Innovation Dr Ste 2000
Greenville, SC 29607-5253 - Phone
- (864) 603-6300
- Fax
- (877) 379-2919
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15387 | SC | Primary |
| Clinical Social Worker | 1041C0700X | 093453 | NY | |
| Social Worker | 104100000X | 103867 | NY |
Addresses
Primary practice location
104 Innovation Dr Ste 2000
Greenville, SC 29607-5253
Mailing address
10 Pearl St FL 2
Port Chester, NY 10573-4611
Other practice location 1
10 Pearl St Fl 2
Port Chester, NY 10573-4611
Phone (914) 265-2762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285628552 | Other | AGENCY: ANDRUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Innovation Dr
Greenville, SC 29607-5253
Phone (864) 603-6300
317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901
Hospital & facility affiliations
- St Francis-Downtown
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103867 | NY | MD | Social Worker |
| 093453 | NY | MD | Clinical Social Worker |
| 15387 | SC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Carmel Psychological Health, PC | Clinical | Current | Accepting new patients |
Locations
10 Pearl St
#2
Port Chester, NY 10573
Phone (914) 265-2762
104 Innovation Dr
Ste 2000
Greenville, SC 29607
Phone (864) 603-6300
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1720564123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PEARL ST FL 2",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105734611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 INNOVATION DR STE 2000",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075253",
"telephone_number": "864-603-6300",
"fax_number": "877-379-2919"
}
],
"practiceLocations": [
{
"address_1": "10 Pearl St Fl 2",
"address_purpose": "LOCATION",
"city": "Port Chester",
"state": "NY",
"postal_code": "105734611",
"country_code": "US",
"telephone_number": "914-265-2762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEVERLY",
"first_name": "SARA",
"middle_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "15387",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093453",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103867",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY: ANDRUS",
"identifier": "1285628552",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.