Individual provider Active NPI

Michael Thull, MSW, LCSW

  • Clinical Social Worker
  • High Point, NC
National Provider Identifier
1285885822
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006152 Issued in NC
Practice address
1814 Eastchester Dr
High Point, NC 27265-1403
Phone
(336) 505-8122
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS25821 NC
Clinical Social Worker 1041C0700X C006152 NC Primary

Addresses

Primary practice location

1814 Eastchester Dr
High Point, NC 27265-1403

Mailing address

2638 Willard Dairy Rd Ste 102
High Point, NC 27265-8236
Phone (336) 354-7980

Other identifiers 1

IdentifierTypeStateIssuer
6007217MedicaidNC

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
LCAS25821NCMDAddiction (Substance Use Disorder) Counselor
C006152NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Guilford County Solution to the Opioid Problem CurrentSince Jul 22, 2025 Accepting new patients

Locations

1814 Eastchester Dr
High Point, NC 27265
Phone (336) 481-1830

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1285885822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 WILLARD DAIRY RD STE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658236",
            "telephone_number": "336-354-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 EASTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651403",
            "telephone_number": "336-505-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THULL",
        "first_name": "MICHAEL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS25821",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007217",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.