Active NPI
Sophia Coudenhove-Kalergi, LCSW-C
- Clinical Social Worker
- Chevy Chase, MD
National Provider Identifier
1124515002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16398
- Practice address
- 5480 Wisconsin Ave
Chevy Chase, MD 20815-3530 - Phone
- (202) 821-5562
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 16398 | MD | Primary |
Addresses
Primary practice location
5480 Wisconsin Ave
Chevy Chase, MD 20815-3530
Mailing address
3830 Fulton St NW
Washington, DC 20007-1344
Phone (202) 821-5562
Other names 1
- Sophia Coudenhove
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5480 Wisconsin Ave
Suite 210
Chevy Chase, MD 20815-3529
Phone (202) 821-5562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16398 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sophia Coudenhove Psychotherapy, LLC | Clinical | Current | Accepting new patients |
Locations
4963 Elm St
Ste 108
Bethesda, MD 20814
Phone (202) 821-5562
5480 Wisconsin Ave
Ste 210
Chevy Chase, MD 20815
Phone (202) 821-5562
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1124515002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 FULTON ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200071344",
"telephone_number": "202-821-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "202-821-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUDENHOVE-KALERGI",
"first_name": "SOPHIA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOPHIA",
"last_name": "COUDENHOVE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.