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SOPHIA FIORENZA FORMOLO
NPI 1487506457
Counselor in Racine, WI

Active since February 12, 2026
2333 NORTHWESTERN AVE, RACINE, WI 53404(262) 638-2000 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sophia Fiorenza Formolo NPPES

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

SOPHIA FIORENZA FORMOLO (NPI 1487506457) is an individual counselor in Racine, Wisconsin, licensed in Wisconsin (8868) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1487506457
Entity TypeIndividual
Primary Taxonomy101Y00000X
Provider Legal NameSOPHIA FIORENZA FORMOLO
Location Address2333 NORTHWESTERN AVERacine, WI 53404-2520
Mailing Address6233 39th AveKenosha, WI 53142-7015
Phone(262) 638-2000
Sole ProprietorNo
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1487506457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 8868
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2333 NORTHWESTERN AVE, Racine, WI 53404
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Other Providers at the Same Location NPPES 5

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

MORIAH GOMEZ WHITE LPC-IT
Counselor (Professional)
2333 NORTHWESTERN AVE
RACINE, WI 53404
Racine County (262) 652-2406
SAMANTHA LINS
Social Worker
2333 NORTHWESTERN AVE
RACINE, WI 53404
Racine County (262) 653-9701
BREA ANN QUADRACCI LPC
Counselor (Professional)
2333 NORTHWESTERN AVE
RACINE, WI 53404
Racine County (262) 638-2000
RENEE MORIN APNP
Nurse Practitioner (Psychiatric/Mental Health)
2333 NORTHWESTERN AVE
RACINE, WI 53404
Racine County (262) 638-2000
ERRIN NEES MS, CCC-SLP
Speech-Language Pathologist
2333 NORTHWESTERN AVE
RACINE, WI 53404
Racine County (262) 321-9642

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 Sophia Formolo's NPI number?

The NPI number for Sophia Formolo is 1487506457. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Where is Sophia Formolo located?

Sophia Formolo practices at 2333 Northwestern Ave, Racine, WI 53404. The listed phone number is (262) 638-2000.

What is Sophia Formolo's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Sophia Formolo was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.