Individual provider Active NPI

Sodeya Darquis Midgett, MSW,LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1457738411
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009039 Issued in NC
Practice address
1001 Navaho Drive
Raleigh, NC 27609
Phone
(252) 288-7300
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P009039 NC Primary

Addresses

Primary practice location

1001 Navaho Drive
Raleigh, NC 27609

Mailing address

1001 Navaho Dr
Raleigh, NC 27609-7335
Phone (252) 288-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240821003405 NC Practitioner - Clinical Social Worker 7113465188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Second Chance Behavioral HealthGroup PAC ID 2961836408, 10 clinicians

Practice addresses (Care Compare)

2717 Neuse Blvd
New Bern, NC 28562-2840
Phone (252) 514-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009039NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Behavioral Health CurrentSince May 4, 2024 Accepting new patients
Rhodium Care Group PLLC CurrentSince Dec 5, 2024 Accepting new patients

Locations

1300 Don Juan Rd
Hertford, NC 27944
Phone (252) 426-4066

2717 Neuse Blvd
New Bern, NC 28562
Phone (252) 514-9888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1457738411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097335",
            "telephone_number": "252-288-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "252-288-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDGETT",
        "first_name": "SODEYA",
        "middle_name": "DARQUIS",
        "credential": "MSW,LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.