Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendra Elise O'Berry, LISW

Individual provider Mental Health Counselor · NPI 1184187353

Kendra Elise O'Berry, LISW is a Clinical Social Worker in North Augusta, South Carolina. Qualified in 2016, 10 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

534 Dove St
North Augusta, SC 29841-2982
Phone: (404) 759-5467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007182 (GA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1184187353
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESDecember 21, 2022
Certification dateAugust 24, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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