Individual provider Active NPI

Sophia Coudenhove-Kalergi, LCSW-C

  • Clinical Social Worker
  • Chevy Chase, MD
National Provider Identifier
1124515002
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16398 Issued in MD
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

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619000265 DC Practitioner - Clinical Social Worker 5496000333 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
16398MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sophia Coudenhove Psychotherapy, LLC Clinical CurrentSince Apr 14, 2018 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

Verify at the official NPI Registry.