Individual provider Active NPI

Staci Chanel Thorne, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1154832871
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C020274 Issued in NC
Practice address
2501 Bragg Blvd
Fayetteville, NC 28303-4141
Phone
(910) 469-1013
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C020274 NC Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

2501 Bragg Blvd
Fayetteville, NC 28303-4141

Mailing address

2501 Bragg Blvd
PMB #135
Fayetteville, NC 28303-4141
Phone (910) 469-1013

Other names 1

  • Staci Chanel Brownlee Former name

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

LicenseStateTypeSpecialty
P016083NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thorne Counseling, Wellness & Consulting PLLC Clinical Current Accepting new patients

Locations

2501 Bragg Blvd
#A
Fayetteville, NC 28303
Phone (910) 946-5676

2501 Bragg Blvd
Fayetteville, NC 28303
Phone (910) 302-8758

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": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1154832871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BRAGG BLVD",
            "address_2": "PMB #135",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034141",
            "telephone_number": "910-469-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BRAGG BLVD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034141",
            "telephone_number": "910-469-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "STACI",
        "middle_name": "CHANEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C020274",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "BROWNLEE",
            "middle_name": "CHANEL",
            "credential": "LCSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.