Provider Demographics
NPI:1154200707
Name:SOTO, CHRISTINE FRANCES
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:FRANCES
Last Name:SOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 COUNTY ROUTE 48
Mailing Address - Street 2:
Mailing Address - City:THOMPSON RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10985-2103
Mailing Address - Country:US
Mailing Address - Phone:845-945-1020
Mailing Address - Fax:
Practice Address - Street 1:2 COUNTY ROUTE 48
Practice Address - Street 2:
Practice Address - City:THOMPSON RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10985-2103
Practice Address - Country:US
Practice Address - Phone:845-945-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker