Individual provider Active NPI

Sophie Chudleigh, LCSW

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1730895467
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65143 Issued in TX
Practice address
805 Bogart Rd
Cedar Park, TX 78613-3260
Phone
(512) 710-7704
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 65143 TX Primary

Addresses

Primary practice location

805 Bogart Rd
Cedar Park, TX 78613-3260

Mailing address

805 Bogart Rd
Cedar Park, TX 78613-3260
Phone (512) 710-7704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
65143TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1730895467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BOGART RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133260",
            "telephone_number": "512-710-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BOGART RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133260",
            "telephone_number": "512-710-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDLEIGH",
        "first_name": "SOPHIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.