Individual provider · Type 1 NPI

Runy Lee Thao, MSW, LCSW

Clinical Social Worker · Conover, NC

NPI number 1972173672 Active

Practice location

1845 Edgewater Dr NW
Conover, NC 28613-8184

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC018153 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1972173672

Runy Lee Thao, MSW, LCSW's National Provider Identifier is 1972173672, issued on Jun 25, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Conover, NC. The record was last updated on Nov 4, 2025.