Nicole Bero, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW13979 Issued in FL

Practice address

1315 Country Club Rd
Gulf Breeze, FL 32563-3451

Phone

(850) 776-6619

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Uncommon Valor Behavioral Health

  • Adult Mental Health Clinic/Center
  • Gulf Breeze, FL
  • NPI 1487381901
  NPD Authorized official
• Aim Behavioral Health Therapy and Consulting, LLC

  • Mental Health Counselor
  • Navarre, FL
  • NPI 1235613522
  NPD (past)

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1750998910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 COUNTRY CLUB RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633451",
            "telephone_number": "850-776-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 COUNTRY CLUB RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633451",
            "telephone_number": "850-776-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERO",
        "first_name": "NICOLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW13979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nicole@uncommonvalorbh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1315 Country Club Rd",
            "city": "Gulf Breeze",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325633451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Behive Homes of Pensacola, LLC
• Grayson Evan Bell, D.D.S.
• Paul Stephen Berger, M.D.
• Stephane Bergeron, MD
• Jon Erik Berguson, MD
• Kathleen Rita Bertelli
• Bio-Medical Applications of Florida, Inc.
• Rusty Black
• Jennifer Lauren Blanks, MSN, APRN, FNP-BC
• John Travis Blaze, PH.D.

• Clinical Social Worker in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.