Active NPI
Embodied Healing PLLC
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1316792146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanja Broer, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Durham, NC
- NPI 1831897867
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.