| Ren A Thorne, LCSW | |
|
205 Main Street, Bayboro, NC 28515 | |
| (252) 745-4510 | |
| (252) 745-4511 |
| Full Name | Ren A Thorne |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 205 Main Street, Bayboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063679892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C017855 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904006732 (Virginia) | Secondary |
| Entity Name | Crossroads Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528091063 PECOS PAC ID: 4486649977 Enrollment ID: O20040415000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Ren A Thorne, LCSW 407 Sunchase Blvd, Apt C, Farmville, VA 23901-2898 Ph: (434) 391-7136 | Ren A Thorne, LCSW 205 Main Street, Bayboro, NC 28515 Ph: (252) 745-4510 |
Ms. Sheila L Stansberry, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13531 Highway 55, Pamlico Pediatrics, Bayboro, NC 28515 Phone: 252-745-2070 Fax: 252-745-2202 | |
Latoya Renee Davis, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13814 Nc Highway 55, Bayboro, NC 28515 Phone: 252-745-7401 | |
Mrs. Kellie Joiner King, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 Main St., Bayboro, NC 28515 Phone: 252-745-6703 | |
Stephanie Erickson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 Main Street, Bayboro, NC 28515 Phone: 252-745-9703 Fax: 252-745-9706 | |
Macy Poole, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Main St, Bayboro, NC 28515 Phone: 252-745-4510 | |
Ms. Linda Jan Boothe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 313 Main St, Bayboro, NC 28515 Phone: 252-745-2070 |