Individual provider Active NPI

Kevin T. Thorne, LCSW-C, LICSW, LCSW

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1487947347
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16028 Issued in MD
Practice address
3231 Superior LN Ste A5
Bowie, MD 20715-1939
Phone
(301) 466-9914
Fax
(202) 506-3553
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008667 VA
Clinical Social Worker 1041C0700X LC50080023 DC
Clinical Social Worker 1041C0700X 16028 MD Primary

Addresses

Primary practice location

3231 Superior LN Ste A5
Bowie, MD 20715-1939

Mailing address

1396 Morris Rd SE
Washington, DC 20020-5216
Phone (202) 997-7588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20140911000033 DC Practitioner - Clinical Social Worker 4284853979 Reassigns benefits to 2 organizations
Practice locations: Bowie, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3231 Superior LN
A5
Bowie, MD 20715-1939
Phone (301) 466-9914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080023DCMDClinical Social Worker
0904008667VAMDClinical Social Worker
16028MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Nathan-Todd Consulting PastSince Sep 5, 2015 Accepting new patients

Locations

601 Pennsylvania Ave NW
Washington, DC 20004
Phone (202) 638-6942

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1487947347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 MORRIS RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205216",
            "telephone_number": "202-997-7588",
            "fax_number": "202-506-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SUPERIOR LN STE A5",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151939",
            "telephone_number": "301-466-9914",
            "fax_number": "202-506-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "KEVIN",
        "middle_name": "T.",
        "credential": "LCSW-C, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008667",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080023",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.