Sara E. Berry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC15356 Issued in ME

Practice address

824 Roosevelt TRL # 280
Windham, ME 04062-5370

Phone

(207) 332-8870

NPI assigned

Jan 27, 2010

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1760713093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 ROOSEVELT TRL # 280",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625370",
            "telephone_number": "207-332-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 ROOSEVELT TRL # 280",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625370",
            "telephone_number": "207-332-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SARA",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be Free Addiction Counseling Services
• Sarah Beaulieu, OTR/L
• India-Rae Bell, ATC
• Debbie Bernier
• Dessiree Berry
• Amber Lynn Berube, WHNP
• Mohammed Beshir
• Sameera Bhandari, DMD
• Howland W Bickerstaff, LCPC, LADC, CCS
• Samantha Marie-Dubay Bickford, PA-C

• Clinical Social Worker in Windham, ME
• Providers in Windham, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.