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General NPI Number Information
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NPI Number | 1285121681
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Entity Type | Organization
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Legal Business Name | SOPHIA COUDENHOVE PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 5480 WISCONSIN AVE
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City | CHEVY CHASE
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State | MD
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Zip | 20815-3530
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Country | US
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Telephone | 202-821-5562
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Fax |
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Provider Business Mailing Address
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Address Line | 3830 FULTON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20007-1344
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Country | US
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Telephone | 202-821-5562
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | SOPHIA COUDENHOVE
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Credential | LCSW-C
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Telephone | 202-821-5562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16398
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License Number State | MD
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