Individual provider Active NPI

Patricia Miller Thorne, LCSW

  • Clinical Social Worker
  • Oriental, NC
National Provider Identifier
1861532566
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015954 Issued in NC
Practice address
1400 Seafarer Dr
Oriental, NC 28571-9651
Phone
(434) 392-5005
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 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 CSW0003615 GA
Clinical Social Worker 1041C0700X 0904006723 VA
Clinical Social Worker 1041C0700X C015954 NC Primary

Addresses

Primary practice location

1400 Seafarer Dr
Oriental, NC 28571-9651

Mailing address

1400 Seafarer Dr
Oriental, NC 28571-9651
Phone (434) 392-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080718000513 VA Practitioner - Clinical Social Worker 4486758422 Practice locations: Farmville, VA
I20240301001055 NC Practitioner - Clinical Social Worker 4486758422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1400 Seafarer Dr
Oriental, NC 28571-9651

404 4TH Ave
Farmville, VA 23901-1916
Phone (434) 392-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW0003615GAMDClinical Social Worker
C015954NCMDClinical Social Worker
0904006723VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sojourner Counseling LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Senior Psych Solutions Corp Clinical Past Accepting new patients

Locations

1 Mill St
Ste 201
Farmville, VA 23901
Phone (434) 207-2112

Organizations & group practices 2

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1861532566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SEAFARER DR",
            "city": "ORIENTAL",
            "state": "NC",
            "postal_code": "285719651",
            "telephone_number": "434-392-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SEAFARER DR",
            "city": "ORIENTAL",
            "state": "NC",
            "postal_code": "285719651",
            "telephone_number": "434-392-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "PATRICIA",
        "middle_name": "MILLER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW0003615",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006723",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oriental, NC

Sources for this page

Verify at the official NPI Registry.