Kendra Elise O'Berry, LISW
NPI 1184187353ActiveIndividual· Social Worker, Clinical· North Augusta, SC
Social Worker, Clinical (LISW) in North Augusta, South Carolina, licensed in GA, with an NPI issued in April 2019. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1184187353 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | No |
| NPI issued | Apr 12, 2019 |
| Last updated in NPPES | Dec 21, 2022 |
| Certified by provider | Aug 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSW007182 | GA |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (GA); Practitioner - Clinical Social Worker (SC) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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