Individual provider Active NPI

Annette Thomas

  • Clinical Social Worker
  • Elm City, NC
National Provider Identifier
1255746723
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008947 Issued in NC
Practice address
4830 Lake Wilson Rd
Elm City, NC 27822-8316
Phone
(252) 315-4421
NPI assigned
Jun 24, 2014
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904013994 VA
Clinical Social Worker 1041C0700X P008947 NC Primary
Clinical Social Worker 1041C0700X 17334 SC
Clinical Social Worker 1041C0700X 31952 MD
School Social Worker 1041S0200X P008947 NC

Addresses

Primary practice location

4830 Lake Wilson Rd
Elm City, NC 27822-8316

Mailing address

4830 Lake Wilson Rd
Elm City, NC 27822-8316
Phone (252) 315-4421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220112001607 NC Practitioner - Clinical Social Worker 2961894431 Reassigns benefits to 2 organizations
Practice locations: Wilson, NC
I20250410003486 VA Practitioner - Clinical Social Worker 2961894431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31952MDMDClinical Social Worker
P008947NCMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Apr 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 7, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 2, 2025 Accepting new patients

Locations

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3433

Organizations & group practices 4

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1255746723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 LAKE WILSON RD",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278228316",
            "telephone_number": "252-315-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 LAKE WILSON RD",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278228316",
            "telephone_number": "252-315-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013994",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008947",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17334",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "31952",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "P008947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm City, NC

Sources for this page

Verify at the official NPI Registry.