Gemmasohn Psychotherapy Service, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GEMMASOHN PSYCHOTHERAPY SERVICE, LLC

Practice address

312 Owaissa Rd SE
Vienna, VA 22180-5929

Phone

(703) 597-9334

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Gemma Imsook Sohn, PHD, LCSW, CSAC

Title

Psychotherapist

Phone

(703) 597-9334

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1811582109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 OWAISSA RD SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805929",
            "telephone_number": "703-597-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 OWAISSA RD SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805929",
            "telephone_number": "703-597-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMMASOHN PSYCHOTHERAPY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_middle_name": "IMSOOK",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "703-597-9334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "904003545",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://gemma-sohn.clientsecure.me.",
            "affiliation": "N",
            "address_1": "2834 Colorado Ave Ste 200",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904043644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Vienna, VA
• Providers in Vienna, 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 Sep 25, 2023; 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.