SARA NICOLE BEVERLY LCSW
NPI 1720564123
Social Worker - Clinical in Greenville, SC

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment
104 INNOVATION DR STE 2000, GREENVILLE, SC 29607(864) 603-6300(877) 379-2919 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2025, Jul 18, 2018 (2 updates tracked since 2018).

About Sara Nicole Beverly Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA NICOLE BEVERLY LCSW (NPI 1720564123) is an individual clinical provider in Greenville, South Carolina, licensed in South Carolina (15387) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Port Chester, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720564123
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSARA NICOLE BEVERLYCredential: LCSW
Location Address104 INNOVATION DR STE 2000Greenville, SC 29607-5253
Mailing Address10 Pearl St Fl 2Port Chester, NY 10573-4611
Fax(877) 379-2919
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2018
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1720564123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in SC · 15387 Licensed in NY · 093453
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 103867 (NY)
104 INNOVATION DR STE 2000, Greenville, SC 29607

Secondary Practice Location 1

Location 110 Pearl St Fl 2Port Chester, NY 10573-4611 · Phone (914) 265-2762

Other Identifiers 1

Other1285628552Agency: Andrus

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sara Nicole Beverly Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466944715
PECOS Enrollment IDI20251124002710
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
104 INNOVATION DR STE 2000
GREENVILLE, SC 29607
Internal Medicine (Hematology & Oncology)
104 INNOVATION DR STE 2000
GREENVILLE, SC 29607
Internal Medicine (Medical Oncology)
104 INNOVATION DR STE 2000
GREENVILLE, SC 29607
Nurse Practitioner (Family)
104 INNOVATION DR STE 2000
GREENVILLE, SC 29607
Physician Assistant
104 INNOVATION DR STE 2000
GREENVILLE, SC 29607
Internal Medicine (Hematology & Oncology)
104 INNOVATION DR STE 2000
GREENVILLE, SC 29607
Psychiatry & Neurology (Psychiatry)
104 INNOVATION DR STE 2000
GREENVILLE, SC 29607
Psychiatry & Neurology (Psychiatry)
104 INNOVATION DR STE 2000
GREENVILLE, SC 29607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Beverly's NPI number?

The NPI number for Sara Beverly is 1720564123. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Sara Beverly located?

Sara Beverly practices at 104 Innovation Dr Ste 2000, Greenville, SC 29607. The listed phone number is (864) 603-6300.

What is Sara Beverly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sara Beverly enrolled in Medicare?

Yes. Sara Beverly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sara Beverly was last updated on November 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.