Active NPI
Renard Cuthbertson
- Clinical Social Worker
- Mocksville, NC
National Provider Identifier
1790643195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 377 Hospital St Ste 100
Mocksville, NC 27028-2194 - Phone
- (336) 751-5636
- Fax
- (336) 751-5696
- NPI assigned
- Jan 13, 2026
- Last updated
- Sep 1, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P023379 | NC | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
377 Hospital St Ste 100
Mocksville, NC 27028-2194
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other practice location 1
512 Klumac Rd
Salisbury, NC 28144-6758
Phone (980) 643-4353
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 |
|---|---|---|---|
| P023379 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1790643195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 HOSPITAL ST STE 100",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282194",
"telephone_number": "336-751-5636",
"fax_number": "336-751-5696"
}
],
"practiceLocations": [
{
"address_1": "512 Klumac Rd",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281446758",
"country_code": "US",
"telephone_number": "980-643-4353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUTHBERTSON",
"first_name": "RENARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-13",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P023379",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mocksville, NC
- County of Davie Office of Finance Agent (Davie County Health Department)
- County of Davie Office of Finance Agent (Davie County Behavioral Health Services)
- Amelia Olweean Craver, PA-C
- Kathy Jones Crotts, MS, RD, LDN
- Kimberly Cornelia Cuningham, AGNP-C
- Davie Co Emergency Health Corp (Farmington Family Practice)
- Davie County Board of Education
- Davie County Emergency Health Corp (Davie county hospital & wake Forest Baptist Health-Davie)
- Davie County Emergency Health Corp (Davie County Hospital & Wake Forest Baptist health-Davie)
- Davie County Emergency Health Corp (Davie County Hospital & Wake Forest Baptist Health-Davie)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.