NPIMap

Organization Active NPI

Soker Psychotherapy and Licensed Clinical Social Work Services, Inc.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1073965497
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25298 Issued in CA
Legal business name
SOKER PSYCHOTHERAPY AND LICENSED CLINICAL SOCIAL WORK SERVICES, INC.
Practice address
1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Phone
(323) 702-3936
Fax
(818) 239-4544
NPI assigned
Jul 9, 2016
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Dr. Sophia Kong, PH.D.NPI 1801081260
Title
President
Phone
(323) 702-3936

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY25298 CA Primary
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X LCS29479 CA

Addresses

Primary practice location

1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013

Mailing address

1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Phone (323) 702-3936

National Provider Directory

National Provider Directory

Locations

11650 Riverside Dr
Ste 10
Studio City, CA 91602
Phone (310) 666-7288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1073965497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257013",
            "telephone_number": "323-702-3936",
            "fax_number": "844-462-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257013",
            "telephone_number": "323-702-3936",
            "fax_number": "818-239-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOKER PSYCHOTHERAPY AND LICENSED CLINICAL SOCIAL WORK SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-09",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-702-3936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25298",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS29479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.