Katherine Cynthia Thyne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002700 Issued in GA

Practice address

3345 Kathy LN SE
Smyrna, GA 30080-4502

Phone

(770) 634-9028

Fax

(877) 283-9686

NPI assigned

Aug 3, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1194726968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 KATHY LN SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804502",
            "telephone_number": "770-634-9028",
            "fax_number": "877-283-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 KATHY LN SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804502",
            "telephone_number": "770-634-9028",
            "fax_number": "877-283-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYNE",
        "first_name": "KATHERINE",
        "middle_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "002700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID NUMBER",
            "identifier": "278677000",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Deshawn Thompson, CCC-SLP
• William Frank Thorneloe, MD
• Marissa Thornton, OD
• Thrive Private Home Care LLC
• Thumbs Up Med-Safe Supply and Delivery, LLC
• Nathan Carman Tirabassi, DPM
• Jennifer Elizabeth Titelman, M.ED., CCC-SLP
• Jarrett Prescott Titus
• TLC of Georgia LLC
• Valerie Hope Todd, ATC

• Clinical Social Worker in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.