Active NPI
Beighley Thornock, MSW, LCSWA
- Social Worker
- Charlotte, NC
National Provider Identifier
1780381343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P018153
- Practice address
- 1931 J N Pease PL
Charlotte, NC 28262-4544 - Phone
- (704) 548-1328
- NPI assigned
- Feb 14, 2023
- Last updated
- May 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P018153 | NC | Primary |
Addresses
Primary practice location
1931 J N Pease PL
Charlotte, NC 28262-4544
Mailing address
1931 J N Pease PL
Charlotte, NC 28262-4544
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
| License | State | Type | Specialty |
|---|---|---|---|
| P018153 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Counseling, PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1871066019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1780381343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 J N PEASE PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 J N PEASE PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624544",
"telephone_number": "704-548-1328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNOCK",
"first_name": "BEIGHLEY",
"credential": "MSW, LCSWA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-14",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P018153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.