Active NPI
Kennette Renee Thigpen, MSW LCSW
- Clinical Social Worker
- Wilson, NC
National Provider Identifier
1043472996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006071
- Practice address
- 114 N Spruce St
Wilson, NC 27894-0111 - Phone
- (252) 916-1061
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006071 | NC | Primary |
Addresses
Primary practice location
114 N Spruce St
Wilson, NC 27894-0111
Mailing address
PO Box 111
Wilson, NC 27894-0111
Phone (252) 916-1061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006071 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- kennetteharris@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1043472996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "WILSON",
"state": "NC",
"postal_code": "278940111",
"telephone_number": "252-916-1061",
"fax_number": "252-234-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N SPRUCE ST",
"city": "WILSON",
"state": "NC",
"postal_code": "278940111",
"telephone_number": "252-916-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIGPEN",
"first_name": "KENNETTE",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- Terminal Drug Store Inc
- Eddie Stuart Tessnear, PH.D.
- The Mental Health Association in North Carolina, Inc.
- The Mental Health Association in North Carolina, Inc.
- The Village Home Care LTD. Liability Co.
- Octavia Nicole Thigpen
- Crystal Kennedy Thomas, PT
- Gordon Thomas, PT
- James Robert Thomas, RPH
- Leah D Thomas, AU.D., CCC-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.