Individual provider Active NPI

Stephanie Jo Pierrenoel, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1184901902
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012876 Issued in NC
Practice address
4412 Park Rd
Charlotte, NC 28209-3130
Phone
(980) 581-3061
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 C012876 NC Primary
Clinical Social Worker 1041C0700X 13496 SC

Addresses

Primary practice location

4412 Park Rd
Charlotte, NC 28209-3130

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210319001049 NC Practitioner - Clinical Social Worker 5092122978 Reassigns benefits to 1 organization
I20211118002971 FL Practitioner - Clinical Social Worker 5092122978 Reassigns benefits to 1 organization
I20260515002279 SC Practitioner - Clinical Social Worker 5092122978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
Thriveworks Clinical - North Carolina PCGroup PAC ID 8527471200, 109 clinicians

Practice addresses (Care Compare)

215 E Bay St
Suite 404
Charleston, SC 29401-2637
Phone (843) 480-4034

8406 Six Forks Rd
Suite 104
Raleigh, NC 27615-3075
Phone (919) 424-6045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C012876NCMDClinical Social Worker
13496SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Apr 11, 2026 Accepting new patients
Thriveworks Clinical - Florida Inc Mental Health CurrentSince Aug 17, 2021 Accepting new patients
Thriveworks Clinical - North Carolina PC Mental Health CurrentSince Feb 23, 2021 Accepting new patients

Locations

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

4412 Park Rd
Charlotte, NC 28209
Phone (855) 675-4144

8406 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (855) 675-4144

215 E Bay St
Ste 404
Charleston, SC 29401
Phone (803) 403-0294

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1184901902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093130",
            "telephone_number": "980-581-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRENOEL",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012876",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.