Provider Demographics
NPI:1790192375
Name:SOROKA, RACHEL (LICSW)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:SOROKA
Suffix:
Gender:
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 CHRISLIN WAY
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1143
Mailing Address - Country:US
Mailing Address - Phone:860-917-4965
Mailing Address - Fax:
Practice Address - Street 1:4 CHRISLIN WAY
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1143
Practice Address - Country:US
Practice Address - Phone:860-917-4965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219923104100000X
MA120435104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker