Organization Active NPI

Embodied Healing PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1316792146
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMBODIED HEALING PLLC
Practice address
5015 Southpark Dr Ste 250
Durham, NC 27713-7736
Phone
(984) 318-3203
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Sanja Broer, LCSWNPI 1831897867
Title
Outpatient Psychotherapist
Phone
(984) 318-3203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5015 Southpark Dr Ste 250
Durham, NC 27713-7736

Mailing address

331 S West St
Cary, NC 27511-3237
Phone (984) 318-3203

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1316792146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S WEST ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113237",
            "telephone_number": "984-318-3203",
            "fax_number": "855-461-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 SOUTHPARK DR STE 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137736",
            "telephone_number": "984-318-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "BROER",
        "authorized_official_first_name": "SANJA",
        "authorized_official_title_or_position": "OUTPATIENT PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "984-318-3203",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.