Active NPI
Sanja Broer
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1831897867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C019993
- Practice address
- 5015 Southpark Dr Ste 250
Durham, NC 27713-7736 - Phone
- (984) 318-3203
- NPI assigned
- Feb 20, 2023
- Last updated
- Apr 23, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C019993 | NC | 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
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 |
|---|---|---|---|
| C019993 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embodied Healing PLLC | Clinical | Current | Accepting new patients |
Locations
5015 Southpark Dr
Ste 250
Durham, NC 27713
Phone (984) 287-8998
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Durham, NC
- NPI 1316792146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1831897867",
"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": {
"last_name": "BROER",
"first_name": "SANJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C019993",
"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.