MRS. LICIA LANE BERRY-BERARD (NPI# 1225505381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225505381 |
| Entity Type | Individual |
| Full Name | MRS. LICIA LANE BERRY-BERARD |
| Credential | LICSW |
| Practice Address |
One Medical Center Drive Lebanon NH 03756 |
| Mailing Address |
Po Box 44 North Thetford VT 05054 |
| Practice Telephone | 6036507248 |
| Practice Fax Number | 6036506392 |
| Mailing Telephone | 8023561580 |
| Mailing Fax Number | 6036506392 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1033174-LICSW-MS | MA | Behavioral Health & Social Service Providers |
| Street Address |
ONE MEDICAL CENTER DRIVE |
| City | LEBANON |
| State | NH |
| Zip Code | 03756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275161655 | Monica Chowdary | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Dhmc Dept of Emergency Medicine, Lebanon, NH 03756-0001 | 2020-03-31 |
| 1326675596 | Benjamin Howard Shapiro | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756 | 2020-03-26 |
| 1437797685 | Mark S Bilodeau | Physician Assistant | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-12-18 |
| 1962040600 | Janelle Voight Pickering | Registered Nurse | One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 | 2019-12-12 |
| 1417506544 | Rachel Kymberly Rooke | Nurse Practitioner | One Medical Center Drive, Pediatric Cardiology, Lebanon, NH 03756-0001 | 2019-09-11 |
| 1396398145 | Gemma Brooke Ogilvie Pentland | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-07-22 |
| 1164084778 | Susan Z Berg | Genetic Counselor, MS | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2019-07-03 |
| 1215599295 | Chelsea E Salomon | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-07-01 |
| 1124683222 | Brianne Marie Tansey | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-05-03 |
| 1851954945 | Jane B Vasquez | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948624 | Hannah Elizabeth Rolf | Social Worker | 713 Holbrook Ave Apt A, Lebanon, OH 45036-2094 | 2017-12-21 |
| 1285176032 | Leah Michelle Sandlin | Social Worker | 218 S Mechanic St, Lebanon, OH 45036-2212 | 2016-11-10 |
| 1275902686 | Robbie Hayter | Social Worker | 3317 Franklin Rd, Lebanon, TN 37090-8065 | 2015-09-16 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1053721522 | Kimberly Dawn Sellers | Social Worker | 212 N Broadway St, Suite 7, Lebanon, OH 45036-2736 | 2014-05-05 |
| 1760821276 | Whitney Renee Rojas | Social Worker | 125 Lakeshore Dr., Lebanon, IN 46052-3100 | 2013-06-18 |
| 1609147610 | Abbey Endicott | Social Worker | 387 Locust Forge Ln, Lebanon, OH 45036-7604 | 2012-01-23 |
| 1306120480 | Melissa Kay Molter | Social Worker | 727 W Washington St, Lebanon, IN 46052-2064 | 2011-10-06 |
| 1861650798 | Whitney T Brown | Social Worker | 1614 N Lebanon St Ste 2, Lebanon, IN 46052-1514 | 2008-05-28 |
| 1447417134 | Nikki K Barnes | Social Worker | 515 W Camp St, Lebanon, IN 46052-1648 | 2008-05-20 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.