Individual provider Active NPI

Runy Lee Thao, MSW, LCSW

  • Clinical Social Worker
  • Conover, NC
National Provider Identifier
1972173672
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018153 Issued in NC
Practice address
1845 Edgewater Dr NW
Conover, NC 28613-8184
Phone
(828) 464-0299
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C018153 NC Primary

Addresses

Primary practice location

1845 Edgewater Dr NW
Conover, NC 28613-8184

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 730-7003

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C018153NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services Inc CurrentSince Nov 7, 2025 Accepting new patients
Runy Thao Counseling, PLLC Clinical CurrentSince Dec 10, 2023 Accepting new patients
Sylva Clinical Associates, PA Past Accepting new patients
Gaston Family Health Services, Inc. PastSince Nov 7, 2025 Accepting new patients

Locations

1845 Edgewater Dr NW
Conover, NC 28613
Phone (828) 464-0299

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

Organizations & group practices 4

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1972173672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-730-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 EDGEWATER DR NW",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138184",
            "telephone_number": "828-464-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "RUNY",
        "middle_name": "LEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.