Sophia Elvira Carrodeguas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904016509 Issued in VA

Practice address

6400 Arlington Blvd Ste 200
Falls Church, VA 22042-2336

Phone

(305) 975-7585

NPI assigned

Apr 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1124874540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 HARRINGTON FALLS LN UNIT 1258",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122599",
            "telephone_number": "305-975-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422336",
            "telephone_number": "305-975-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRODEGUAS",
        "first_name": "SOPHIA",
        "middle_name": "ELVIRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Diane Carnahan, MS PT
• Mark Francis Carney, M.D.
• Deirdre Mary Carolan, CRNP, PH.D.
• Karen R Carpenter, MD
• Nadya Carriger, NP
• Lindsay Carol Carroll, LPC
• Cristina Maria Cartagena, COA
• Andrea Christine Carter, ACNP
• Laura Carter, AUD
• Meredith Lynn Carter, M.D.

• Clinical Social Worker in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.