Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amie M Berry, LCSW

Individual provider Clinical Social Worker · NPI 1508194218

Amie M Berry, LCSW is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2002, 24 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4651 Salisbury Road South 4th Fl Ste 428
Jacksonville, FL 32256-5506
Phone: (904) 748-9106
Fax: (888) 244-7481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence SW9352 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW9352 (FL)

Record details

NPI number1508194218
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 19, 2009
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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