Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396669289 Individual Practitioner Female Practitioner

Sofia Ray Van Sickle , CARC

Peer Specialist • Boston, MA

Professional Overview & Biography Verified Profile Summary

Sofia Van Sickle, CARC is a registered healthcare professional specializing in Peer Specialist in Boston, MA. Practice services are available at 55 COURT ST STE 220B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Court St Ste 220b

Boston, MA 021082104

Telephone 8889631828
Associated Practice Facility / Clinic
🏢 Beacon Tech Inc Facility NPI 1710758289

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Boston, MA (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-05
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License MA 0580RC

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.

Secondary Practice Locations

30 Veterans Memorial Pkwy Apt 104

East Providence, RI 029145069

Phone: 7273177005

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
NPI 1053109538

PEERSPECIALIST

Kionna Redd , CPS

Peer Specialist

NPI 1104700434
NPI 1114718699

RECOVERYCOACH

NPI 1154119634

RECOVERYCOACH

NPI 1174404974
NPI 1285529123

PEERSPECIALIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 05, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2026

Registered at 55 COURT ST STE 220B, BOSTON, MA 021082104 (Tel: 8889631828)

📍
Updated Business Mailing Address August 05, 2026

Registered at 55 COURT ST STE 220B, BOSTON, MA 021082104 (Tel: 8889631828)

👤
Provider Name / Credentials Updated August 05, 2026

Recorded as SOFIA VAN SICKLE, CARC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2026

Peer Specialist (License #0580RC in MA)

🟢
Initial NPI Registration & Enumeration August 05, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sofia Van Sickle. Be the first to share your experience!

Sign in to leave a review for Sofia Van Sickle

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396669289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2026
Last Update: August 05, 2026
Sole Proprietor: No

Mailing Address

55 Court St Ste 220b

Boston, MA 021082104

Phone: 8889631828

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.