SOFIA WILSON-RAE (NPI# 1568744845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568744845 |
| Entity Type | Individual |
| Full Name | SOFIA WILSON-RAE |
| Credential | M.A. |
| Practice Address |
61 Medford St Somerville MA 02143-3421 |
| Mailing Address |
180 Harvard St Cambridge MA 02139-2723 |
| Practice Telephone | 6176294644 |
| Practice Fax Number | 6176294644 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
61 MEDFORD ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215086061 | Nina Cohen | Social Worker | 61 Medford St, Somerville, MA 02143 | 2007-01-10 |
| 1497394886 | Elisabeth Marcucci | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2020-01-02 |
| 1386127736 | Leah Hampton | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2018-09-12 |
| 1245713155 | Melissa Bryant | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2018-09-07 |
| 1205317062 | Carly Ellis | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2018-08-28 |
| 1053891473 | Elise Farrell | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2018-08-15 |
| 1124508544 | Stephanie Becker | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2018-08-15 |
| 1164901732 | Allison Alaimo | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2018-08-14 |
| 1952889412 | Anne Marie Keefe | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2018-08-06 |
| 1386122216 | Corinne Lofchie | Social Worker | 61 Medford St, Somerville, MA 02143-3421 | 2018-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043708175 | Thomas Stoddard | Psychologist | 23 Kent Ct # 3, Somerville, MA 02143-3503 | 2018-04-24 |
| 1316988579 | Michael E Rohr | Psychologist | 550 Lazenby Dr, Somerville, TN 38068-5030 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998656 | Marie Taras Liang | Psychologist | 90 Sweetwater Ave, Bedford, MA 01730-1106 | 2020-06-25 |
| 1578052064 | Christopher J. Fox | Psychologist | 49 Brandywine Dr, Belchertown, MA 01007-9546 | 2018-05-09 |
| 1679006530 | Rose Drew | Psychologist | 54 Kingman St, East Taunton, MA 02718-1408 | 2017-04-07 |
| 1851775530 | Joyce Ann Melker | Psychologist | 46 Mildred Ave, Swansea, MA 02777-1620 | 2015-07-13 |
| 1922305093 | Jessica R Everett | Psychologist | 461 River Rd, Andover, MA 01810-4213 | 2011-02-24 |
| 1003131178 | Alan Harchik | Psychologist | 239 Aubinwood Rd, Amherst, MA 01002-1627 | 2010-04-01 |
| 1073847448 | Daniel Ndungu | Psychologist | 42 Hampshire St, Lowell, MA 01850-2020 | 2009-10-01 |
| 1437351699 | Michael Lowry | Psychologist | 343 West St, North Hatfield, MA 01066 | 2007-06-01 |
| 1154378834 | The Arc of South Norfolk, Inc. | Psychologist | 789 Clapboardtree St, Westwood, MA 02090-1717 | 2006-05-28 |
| 1043823685 | Lifeworks, Inc. | Psychologist | 789 Clapboardtree St, Westwood, MA 02090-1717 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on SOFIA WILSON-RAE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.