Licia Lane Berry-Berard, LICSW
NPI 1225505381ActiveIndividual· Social Worker, Clinical· North Thetford, VT
Social Worker, Clinical (LICSW) in North Thetford, Vermont, licensed in VT, with an NPI issued in October 2018. Medicare paid $23,179 for services to 26 patients in 2024.
Overview
| NPI | 1225505381 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Oct 26, 2018 |
| Last updated in NPPES | Oct 18, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 089134187 | VT |
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 (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 264 across 3 procedure codes |
| Paid by Medicare | $23,179 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |