Individual provider Active NPI

Cheryl Ann Sopo, LCSW

  • Clinical Social Worker
  • Whiting, IN
National Provider Identifier
1649439837
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004231A Issued in IN
Practice address
1800 New York Ave
Whiting, IN 46394-1716
Phone
(219) 473-1737
NPI assigned
Jun 3, 2008
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004231A IN Primary

Addresses

Primary practice location

1800 New York Ave
Whiting, IN 46394-1716

Mailing address

1800 New York Ave
Whiting, IN 46394-1716
Phone (219) 473-1344

Other identifiers 1

IdentifierTypeStateIssuer
200085310MedicaidIN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004231AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Past Accepting new patients
Catholic Charities Diocese of Gary Inc Past Accepting new patients
Catholic Charities Diocese of Gary Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1649439837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NEW YORK AVE",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941716",
            "telephone_number": "219-473-1344",
            "fax_number": "219-844-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NEW YORK AVE",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941716",
            "telephone_number": "219-473-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPO",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004231A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200085310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.