Individual provider Active NPI

Sophia Heaton, MSW, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1043373442
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
COO5125 Issued in NC
Practice address
1615 Polo Rd
Winston Salem, NC 27106-3831
Phone
(336) 722-7266
Fax
(336) 201-0538
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 COO5125 NC Primary

Addresses

Primary practice location

1615 Polo Rd
Winston Salem, NC 27106-3831

Mailing address

1615 Polo Rd
Winston Salem, NC 27106-3831
Phone (336) 722-7266

Other practice location 1

104 Cambridge Plaza Dr
Winston Salem, NC 27104-3556
Phone (336) 722-7266

Other practice location 2

1901 Adams Farm Pkwy
Greensboro, NC 27407-6338
Phone (336) 722-7266

Other identifiers 1

IdentifierTypeStateIssuer
6106117MedicaidNC

Other names 1

  • Sophia Parrow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327003354 NC Practitioner - Clinical Social Worker 0042795007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mood Treatment Center, PLLCGroup PAC ID 6103068598, 12 clinicians

Practice addresses (Care Compare)

1901 Adams Farm Pkwy
Greensboro, NC 27407-6338
Phone (336) 722-7266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COO5125NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmood PLLC CurrentSince Apr 1, 2026 Accepting new patients
Mood Treatment Center, PLLC CurrentSince Jul 24, 2013 Accepting new patients

Locations

1901 Adams Farm Pkwy
Greensboro, NC 27407
Phone 336722726623208

1615 Polo Rd
Winston Salem, NC 27106
Phone 33672272662304

104 Cambridge Plaza Dr
Winston Salem, NC 27104
Phone (336) 831-3738

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1043373442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063831",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063831",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Cambridge Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271043556",
            "country_code": "US",
            "telephone_number": "336-722-7266",
            "fax_number": "337-201-0538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Adams Farm Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274076338",
            "country_code": "US",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATON",
        "first_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO5125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106117",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "PARROW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.