Individual provider Active NPI

Andrea Renee Thorpe, LCSW, LAC, LISW-CP

  • Clinical Social Worker
  • Murphy, NC
National Provider Identifier
1467522979
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005041 Issued in GA
Practice address
59 Lowell St
Murphy, NC 28906-3402
Phone
(623) 628-0714
Fax
(843) 896-3093
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MAC 508240 AZ
Addiction (Substance Use Disorder) Counselor 101YA0400X C0160 GA
Addiction (Substance Use Disorder) Counselor 101YA0400X MAC 508240 GA
Addiction (Substance Use Disorder) Counselor 101YA0400X 174 SC
Clinical Social Worker 1041C0700X 12064 SC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CO15577 NC
Clinical Social Worker 1041C0700X CSW005041 GA Primary

Addresses

Primary practice location

59 Lowell St
Murphy, NC 28906-3402

Mailing address

59 Lowell St
Murphy, NC 28906-3402
Phone (623) 628-0714

Other identifiers 1

IdentifierTypeStateIssuer
Z187469OtherMEDICARE - STATE AZ

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
I20170707001487 SC Practitioner - Clinical Social Worker 2961709183 Practice locations: Moncks Corner, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 E Main St
Moncks Corner, SC 29461-3764
Phone (623) 628-0714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MAC 508240AZMDAddiction (Substance Use Disorder) Counselor
C0160GAMDAddiction (Substance Use Disorder) Counselor
MAC 508240GAMDAddiction (Substance Use Disorder) Counselor
174SCMDAddiction (Substance Use Disorder) Counselor
CSW005041GAMDClinical Social Worker
CO15577NCMDClinical Social Worker
12064SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Program of Recovery LLC Addiction (Substance Use Disorder) CurrentSince May 25, 2017 Accepting new patients

Locations

117 E Main St
Moncks Corner, SC 29461
Phone (843) 475-9649

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1467522979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LOWELL ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063402",
            "telephone_number": "623-628-0714",
            "fax_number": "843-896-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LOWELL ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063402",
            "telephone_number": "623-628-0714",
            "fax_number": "843-896-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "credential": "LCSW, LAC, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "MAC 508240",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0160",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "MAC 508240",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "174",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12064",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO15577",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - STATE AZ",
            "identifier": "Z187469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.