Active NPI
Heidi Soto Holgate, LCSW-A
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1417538331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020586
- Practice address
- 3720 Benson Dr Ste And102
Raleigh, NC 27609-7321 - Phone
- (984) 325-6889
- Fax
- (252) 226-1243
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Clinical Social Worker | 1041C0700X | P020586 | NC | Primary |
Addresses
Primary practice location
3720 Benson Dr Ste And102
Raleigh, NC 27609-7321
Mailing address
1533 Sunbow Falls LN
Raleigh, NC 27609-8133
Phone (270) 404-6784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P020586 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1417538331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 SUNBOW FALLS LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276098133",
"telephone_number": "270-404-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 BENSON DR STE AND102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097321",
"telephone_number": "984-325-6889",
"fax_number": "252-226-1243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO HOLGATE",
"first_name": "HEIDI",
"credential": "LCSW-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.