Active NPI
Sophia Marie Leupp, LCSW
- Clinical Social Worker
- Beverly Hills, CA
National Provider Identifier
1235798984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW89093
- Practice address
- 9171 Wilshire Blvd Ste 500
Beverly Hills, CA 90210-5536 - Phone
- (000) 000-0000
- NPI assigned
- Jun 6, 2019
- 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 | LCSW89093 | CA | Primary |
Addresses
Primary practice location
9171 Wilshire Blvd Ste 500
Beverly Hills, CA 90210-5536
Mailing address
9171 Wilshire Blvd Ste 500
Beverly Hills, CA 90210-5536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 E Foothill Blvd
Suite 102
Arcadia, CA 91006-2361
Phone (626) 701-4249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW89093 | CA | MD | Clinical Social Worker |
| 89093 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Current | Accepting new patients | |
| Soultenders Psychological Services, Inc. | Clinical | Past | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
245 E Olive Ave
Ste 400
Burbank, CA 91502
Phone (818) 823-6677
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Arcadia, CA
- NPI 1164617007
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1235810722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1235798984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD STE 500",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD STE 500",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105536",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUPP",
"first_name": "SOPHIA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW89093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.