Sofia Isabel Benavides

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017560 Issued in NC

Practice address

5720 Creedmoor Rd Ste 201
Raleigh, NC 27612-2383

Phone

(919) 977-6018

NPI assigned

Jun 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sofia Isabel Doerfer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Resources & Guidance Inc

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1689957904
  NPD

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1306523360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 PINE TREE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122383",
            "telephone_number": "919-977-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "SOFIA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFIA",
            "last_name": "DOERFER",
            "middle_name": "ISABEL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wolita Belvet, LMBT
• Ben H. Britt, Jr., DDS, PA
• Ifeoma Ben-Okororie, FNP
• Uyai Ben
• Lorena Benavides, M.D.
• Katherine D Benbow, LCSW
• Golda Anne Bender, MSW
• Sarah Elise Bender, PA-C
• Wendy Jerome Bender
• Amy Celeste Bendis, CRNA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.