Provider Demographics
NPI:1689766479
Name:SOHL, TRICIA (LICSW)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:SOHL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SAWYER RD
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-1220
Mailing Address - Country:US
Mailing Address - Phone:978-779-5449
Mailing Address - Fax:
Practice Address - Street 1:14 RED ACRE RD
Practice Address - Street 2:# 6
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775-1140
Practice Address - Country:US
Practice Address - Phone:978-509-4532
Practice Address - Fax:775-458-7541
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1043411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical