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

Sara Nicole Beverly, LCSW

Individual provider Clinical Social Worker · NPI 1720564123

Sara Nicole Beverly, LCSW is a Clinical Social Worker in Greenville, South Carolina. Qualified in 2018, 8 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and South Carolina.

Years since qualifying
8
Licensed in
NY, SC
In the registry since
2018
Specialties on file
3
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

104 Innovation Dr Ste 2000
Greenville, SC 29607-5253
Phone: (864) 603-6300
Fax: (877) 379-2919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Pearl St Fl 2, Port Chester, NY 10573-4611 — (914) 265-2762

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15387 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 093453 (NY)
Social Worker Taxonomy 104100000X · Licence 103867 (NY)

Record details

NPI number1720564123
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 18, 2018
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Greenville