Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Ray Throneberry, LCSW

Individual provider Clinical Social Worker · NPI 1710496781

Michael Ray Throneberry, LCSW is a Clinical Social Worker in Fort Worth, Texas. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1814 8th Ave
Fort Worth, TX 76110-1354
Phone: (214) 415-7093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 40963 (TX)

Record details

NPI number1710496781
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 21, 2017
Last updated in NPPESSeptember 10, 2022
Certification dateSeptember 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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