Individual provider Active NPI

Ellen Toth Thorne, MSW,LISW-CP

  • Clinical Social Worker
  • Goose Creek, SC
National Provider Identifier
1245547967
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9532 Issued in SC
Practice address
141 Red Bank Rd
Suite D
Goose Creek, SC 29445-4518
Phone
(917) 974-2488
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9532 SC Primary

Addresses

Primary practice location

141 Red Bank Rd
Suite D
Goose Creek, SC 29445-4518

Mailing address

141 Red Bank Rd
Suite D
Goose Creek, SC 29445-4518
Phone (917) 974-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20101111000459 SC Practitioner - Clinical Social Worker 7113112533 Practice locations: North Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3255 Landmark Dr
North Charleston, SC 29418-8573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9532SCMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1245547967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 RED BANK RD",
            "address_2": "SUITE D",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294454518",
            "telephone_number": "917-974-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 RED BANK RD",
            "address_2": "SUITE D",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294454518",
            "telephone_number": "917-974-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "ELLEN",
        "middle_name": "TOTH",
        "name_prefix": "Mrs.",
        "credential": "MSW,LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.