MICHAEL RAY THRONEBERRY LCSW
NPI 1710496781
Social Worker - Clinical in Fort Worth, TX

Active since September 21, 2017PECOS Enrolled
1814 8TH AVE, FORT WORTH, TX 76110(214) 415-7093 Get Directions Write a Review

NPPES record last updated: September 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2022, Sep 21, 2017 (2 updates tracked since 2017).

About Michael Ray Throneberry Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL RAY THRONEBERRY LCSW (NPI 1710496781) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (40963) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1710496781
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL RAY THRONEBERRYCredential: LCSW
Location Address1814 8TH AVEFort Worth, TX 76110-1354
Mailing Address4620 Cloudview RdFort Worth, TX 76109-3326 · (214) 415-7093
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 21, 2017
Last NPPES UpdateSeptember 10, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2022
NPI 1710496781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TX · 40963
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1814 8TH AVE, Fort Worth, TX 76110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Ray Throneberry Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052705092
PECOS Enrollment IDI20220317002767
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1814 8TH AVE
FORT WORTH, TX 76110
Counselor (Mental Health)
1814 8TH AVE, SUITE A
FORT WORTH, TX 76110
Counselor (Professional)
1814 8TH AVE
FORT WORTH, TX 76110
Counselor (Mental Health)
1814 8TH AVE
FORT WORTH, TX 76110
Counselor (Mental Health)
1814 8TH AVE
FORT WORTH, TX 76110
Counselor (Mental Health)
1814 8TH AVE
FORT WORTH, TX 76110
Counselor (Professional)
1814 8TH AVE
FORT WORTH, TX 76110
Counselor
1814 8TH AVE
FORT WORTH, TX 76110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Throneberry's NPI number?

The NPI number for Michael Throneberry is 1710496781. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Michael Throneberry located?

Michael Throneberry practices at 1814 8th Ave, Fort Worth, TX 76110. The listed phone number is (214) 415-7093.

What is Michael Throneberry's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Throneberry enrolled in Medicare?

Yes. Michael Throneberry is registered in the Medicare PECOS enrollment system.

What insurance does Michael Throneberry accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Michael Throneberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Throneberry was last updated on September 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.