Individual provider Active NPI

Sophia Elizabeth Wilhelmina Strydom, SOCIAL WORKER - CLIN

  • Clinical Social Worker
  • Lynchburg, VA
National Provider Identifier
1477041168
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0906016382 Issued in VA
Practice address
1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724
Phone
(540) 217-6748
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906016382VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0906016382 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724

Mailing address

13400 Dogues Ter
Woodbridge, VA 22191-1221
Phone (703) 296-0627

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2025.

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1477041168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 DOGUES TER",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911221",
            "telephone_number": "703-296-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST STE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041724",
            "telephone_number": "540-217-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYDOM",
        "first_name": "SOPHIA",
        "middle_name": "ELIZABETH WILHELMINA",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER - CLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906016382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.