Individual provider Active NPI

Hannah Sharon Thompson

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1114654985
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017976 Issued in NC
Practice address
4605 Fairview Dr Apt 348
Wilmington, NC 28412-3678
Phone
(919) 210-5625
NPI assigned
Aug 2, 2022
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P017976 NC Primary
Clinical Social Worker 1041C0700X C018202 NC

Addresses

Primary practice location

4605 Fairview Dr Apt 348
Wilmington, NC 28412-3678

Mailing address

4605 Fairview Dr Apt 106
Wilmington, NC 28412-3673
Phone (919) 210-5625

Other practice location 1

4833 Carolina Beach Rd Ste 106
Wilmington, NC 28412-2370
Phone (910) 833-7122

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
I20250425000013 NC Practitioner - Clinical Social Worker 6800312596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Medical of New Jersey PCGroup PAC ID 5799141750, 61 clinicians

Practice addresses (Care Compare)

3064 Wake Forest Rd
Suite 1271
Raleigh, NC 27609-7844
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P017976NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Clinical CurrentSince Mar 19, 2025 Accepting new patients
Pride in North Carolina, LLC CurrentSince Mar 19, 2025 Accepting new patients

Locations

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

7610 Falls of Neuse Rd
Ste 290
Raleigh, NC 27615
Phone (919) 321-9702

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

2416 Bedgood Dr SW
Wilson, NC 27893
Phone (252) 265-9200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1114654985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 FAIRVIEW DR APT 106",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123673",
            "telephone_number": "919-210-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 FAIRVIEW DR APT 348",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123678",
            "telephone_number": "919-210-5625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4833 Carolina Beach Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122370",
            "country_code": "US",
            "telephone_number": "910-833-7122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HANNAH",
        "middle_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017976",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.