Provider Demographics
NPI:1740936699
Name:SOTO, RAQUEL (LMSW)
Entity type:Individual
Prefix:MS
First Name:RAQUEL
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 HENRY ST STE 1F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2512
Mailing Address - Country:US
Mailing Address - Phone:646-812-4238
Mailing Address - Fax:
Practice Address - Street 1:115 HENRY ST STE 1F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2512
Practice Address - Country:US
Practice Address - Phone:646-812-4238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1126061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical