Active NPI
Renee R Thomas, LCSW
- Clinical Social Worker
- Mooresville, NC
National Provider Identifier
1932915071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- COO3562
- Practice address
- 255 Bells Crossing Dr
Mooresville, NC 28117-8576 - Phone
- (704) 604-3009
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | COO3562 | NC | Primary |
Addresses
Primary practice location
255 Bells Crossing Dr
Mooresville, NC 28117-8576
Mailing address
255 Bells Crossing Dr
Mooresville, NC 28117-8576
Phone (704) 604-3009
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 |
|---|---|---|---|
| COO3562 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1932915071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 BELLS CROSSING DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178576",
"telephone_number": "704-604-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 BELLS CROSSING DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178576",
"telephone_number": "704-604-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "RENEE",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "COO3562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
- Carolyn Thomas Forney, L.M.B.T.
- Thomas Hand & Rehab Specialists Limited Patnership
- Thomas Hand and Rehabilitation Specialists Limited Partnership
- Rachel Thomas-Cornfield, DPT
- Lisa Schroepfer Thomas, M.D.
- Sarah Thomas
- David E Thome, DDS
- Asheli M Thompson
- Margaret Elena Thompson, LAT, ATC
- Nancy Landers Thompson, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.