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SOULFUL SOMATICS LICENSED CLINICAL SOCIAL WORKER PC
NPI 1164135604
Social Worker - Clinical in Chico, CA

Active since December 29, 2022
4 GOVERNORS LN STE C, CHICO, CA 95926(530) 531-3459(844) 525-7544 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soulful Somatics Licensed Clinical Social Worker Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOULFUL SOMATICS LICENSED CLINICAL SOCIAL WORKER PC (NPI 1164135604) is a healthcare organization registered as a clinical in Chico, California and active in the NPI registry since December 2022. The organization lists Krisrin Brooke Free, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1164135604
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOULFUL SOMATICS LICENSED CLINICAL SOCIAL WORKER PC
Location Address4 GOVERNORS LN STE CChico, CA 95926-5514
Mailing Address4 Governors Ln Ste CChico, CA 95926-5514 · (530) 531-3459
Phone(530) 531-3459
Fax(844) 525-7544
Organization SubpartNo
Authorized OfficialKrisrin Brooke FreeCeo/owner · (530) 354-0455
Enumeration DateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
✔ NPI 1164135604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
4 GOVERNORS LN STE C, Chico, CA 95926
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Other Identifiers 1

Medicaid592984CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY MARIE ADEMA LCSW
Social Worker
4 GOVERNORS LN STE C
CHICO, CA 95926
Butte County (530) 433-9355
MISS VANESSA ELLEN PITNEY M.S., R.D.
Dietitian, Registered
4 GOVERNORS LN STE C
CHICO, CA 95926
Butte County (530) 230-4143
KRISTIN BROOKE FREE
Social Worker (Clinical)
4 GOVERNORS LN STE C
CHICO, CA 95926
Butte County (530) 354-0455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soulful Somatics Licensed Clinical Social Worker PC's NPI number?

The NPI number for Soulful Somatics Licensed Clinical Social Worker PC is 1164135604. It was assigned to this organization in the NPPES registry on December 29, 2022.

Where is Soulful Somatics Licensed Clinical Social Worker PC located?

Soulful Somatics Licensed Clinical Social Worker PC is located at 4 Governors Ln Ste C, Chico, CA 95926. The listed phone number is (530) 531-3459.

What is Soulful Somatics Licensed Clinical Social Worker PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Soulful Somatics Licensed Clinical Social Worker PC was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.