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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOFIA RAY VAN SICKLE CARC
NPI 1396669289
Peer Specialist in Boston, MA

Active since August 05, 2026
55 COURT ST STE 220B, BOSTON, MA 02108(888) 963-1828 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sofia Ray Van Sickle Carc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA RAY VAN SICKLE CARC (NPI 1396669289) is an individual peer specialist in Boston, Massachusetts, licensed in Massachusetts (0580RC) and active in the NPI registry since August 2026. She maintains a secondary practice location in East Providence.

NPPES Registry Identity

NPI1396669289
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSOFIA RAY VAN SICKLECredential: CARC
Location Address55 COURT ST STE 220BBoston, MA 02108-2104
Mailing Address55 Court St Ste 220bBoston, MA 02108-2104 · (888) 963-1828
Phone(888) 963-1828
Sole ProprietorNo
Enumeration DateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1396669289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in MA · 0580RC
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
55 COURT ST STE 220B, Boston, MA 02108
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Secondary Practice Location 1

Location 130 Veterans Memorial Pkwy Apt 104East Providence, RI 02914-5069 · Phone (727) 317-7005

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA SHUHART PEER SPECIALIST
Peer Specialist
55 COURT ST STE 220B
BOSTON, MA 02108
Suffolk County (888) 963-1828
NICOLE HUNTER RECOVERY COACH
Peer Specialist
55 COURT ST STE 220B
BOSTON, MA 02108
Suffolk County (888) 963-1828
SOPEEP BOU
Counselor
55 COURT ST STE 220B
BOSTON, MA 02108
Suffolk County (857) 957-6820
CHRISTOPHER SWANWICK
Peer Specialist
55 COURT ST STE 220B
BOSTON, MA 02108
Suffolk County (857) 957-6820
NOAH WITT PEER SPECIALIST
Peer Specialist
55 COURT ST STE 220B
BOSTON, MA 02108
Suffolk County (888) 963-1828
KAITLIN WHITE
Peer Specialist
55 COURT ST STE 220B
BOSTON, MA 02108
Suffolk County (888) 963-1828
BRANDON DESHAUN KELLUM
Counselor (Mental Health)
55 COURT ST STE 220B
BOSTON, MA 02108
Suffolk County (888) 963-1828
MOLLY JOHNSTON RECOVERY COACH
Peer Specialist
55 COURT ST STE 220B
BOSTON, MA 02108
Suffolk County (888) 963-1828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sofia Van Sickle's NPI number?

The NPI number for Sofia Van Sickle is 1396669289. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Where is Sofia Van Sickle located?

Sofia Van Sickle practices at 55 Court St Ste 220B, Boston, MA 02108. The listed phone number is (888) 963-1828.

What is Sofia Van Sickle's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Sofia Van Sickle was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.