Ren A Thorne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017855 Issued in NC

Practice address

205 Main Street
Bayboro, NC 28515

Phone

(252) 745-4510

Fax

(252) 745-4511

NPI assigned

May 20, 2008

Last updated

Dec 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossroads Services Board

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1528091063

  Clinical

  Medicare reassignment NPD
• Heartworks Childrens Medical Home Mission

  dba Still Waters

  • Clinical Social Worker
  • Bayboro, NC
  • NPI 1306967880
  NPD (past)
• Vaught Christian Counseling PC

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1821164583
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1063679892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SUNCHASE BLVD",
            "address_2": "APT C",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012898",
            "telephone_number": "434-391-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN STREET",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "28515",
            "telephone_number": "252-745-4510",
            "fax_number": "252-745-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "REN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017855",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ashley Smith, DMD
• Andrea Squires
• Sheila L Stansberry, MSW, LCSW
• Linda Ann Straub, NP
• The Legacy Group Foundation, Inc
• Trinity Adult and Senior Services LLC
• Tysha Deve Ushry, LPCA

• Clinical Social Worker in Bayboro, NC
• Providers in Bayboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.