Individual provider Active NPI

Sedreka Symone Anderson

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1831847979
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018955 Issued in NC
Practice address
300 Bethesda Dr
Greenville, NC 27834-7548
Phone
(252) 752-7141
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 C018955 NC Primary

Addresses

Primary practice location

300 Bethesda Dr
Greenville, NC 27834-7548

Mailing address

1255A Masters LN
Greenville, NC 27834-8066
Phone (252) 775-2412

Other practice location 1

231 Commerce St
Greenville, NC 27858-5029
Phone (252) 321-8080

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
I20251001003580 NC Practitioner - Clinical Social Worker 1153827852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pride in North Carolina LLCGroup PAC ID 9638105869, 34 clinicians

Practice addresses (Care Compare)

231 Commerce St
Greenville, NC 27858-5029
Phone (252) 321-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC CurrentSince Sep 5, 2025 Accepting new patients
Pride in North Carolina, LLC Clinical CurrentSince Sep 5, 2025 Accepting new patients
Greenville Pediatric Services, Inc PastSince Sep 8, 2025 Accepting new patients

Locations

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

7610 Falls of Neuse Rd
Ste 290
Raleigh, NC 27615
Phone (919) 321-9702

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

Organizations & group practices 3

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1831847979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255A MASTERS LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348066",
            "telephone_number": "252-775-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347548",
            "telephone_number": "252-752-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Commerce St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585029",
            "country_code": "US",
            "telephone_number": "252-321-8080",
            "fax_number": "252-321-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SEDREKA",
        "middle_name": "SYMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.