Sofia Ray Van Sickle, CARC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0580RC Issued in MA

Practice address

55 Court St Ste 220B
Boston, MA 02108-2104

Phone

(888) 963-1828

NPI assigned

Aug 5, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beacon Tech Inc

  dba Marigold Health

  • Peer Specialist
  • Boston, MA
  • NPI 1710758289
  NPD (past)

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1396669289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COURT ST STE 220B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082104",
            "telephone_number": "888-963-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COURT ST STE 220B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082104",
            "telephone_number": "888-963-1828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Veterans Memorial Pkwy Apt 104",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145069",
            "country_code": "US",
            "telephone_number": "727-317-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN SICKLE",
        "first_name": "SOFIA",
        "middle_name": "RAY",
        "credential": "CARC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MA",
            "license": "0580RC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Joanne Van Marter, MD MPH
• Maike Van Niekerk, PHD
• David W. Van Norstrand, MD, PHD
• Jonathan Van Ornam, M.D., M.B.A.
• Maria Michelle Van Pelt, CRNA
• Melissa Van Veldhuizen
• Margaret E. Van Wyk, LICSW
• Tave Van Zyl, MD
• Amy Van
• Rachel Van

• Peer Specialist in Boston, MA
• Providers in Boston, MA by specialty
• Peer Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.