Beverly, Sara Nicole

Beverly, Sara Nicole is an individual health care provider with primary practice located at 10 Pearl St Fl 2 , Port Chester NY 10573-4611. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Beverly, Sara Nicole can be contacted via phone (914) 265-2762.

Contact Information

Primary practice address
10 Pearl St Fl 2 Port Chester NY 10573-4611
Phone: (914) 265-2762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 093453 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 103867 New York

Profile Details

NPI number 1720564123
LBN Legal business name Beverly, Sara Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2018
Last updated Jun 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720564123 NPPES
Other 1285628552 AGENCY: ANDRUS

Popular Providers