Individual provider Active NPI

Thais Deane, LCSW

  • Clinical Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1821446022
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13734 Issued in SC
Practice address
2462 Windmill Way
Myrtle Beach, SC 29579-3534
Phone
(908) 370-4650
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13734 SC Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904016221 VA

Addresses

Primary practice location

2462 Windmill Way
Myrtle Beach, SC 29579-3534

Mailing address

505 Azolla Way
Stafford, VA 22554-6883
Phone (908) 370-4650

Other practice location 1

505 Azolla Way
Stafford, VA 22554-6883
Phone (908) 370-4650

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
I20210308000497 SC Practitioner - Clinical Social Worker 0345656997 Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13734SCMDClinical Social Worker
0904016221VAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: thais.deane@lrmc.directbygreenway.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1821446022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 AZOLLA WAY",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546883",
            "telephone_number": "908-370-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 WINDMILL WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793534",
            "telephone_number": "908-370-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Azolla Way",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225546883",
            "country_code": "US",
            "telephone_number": "908-370-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEANE",
        "first_name": "THAIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13734",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.