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THE GIFTED SOUL, LLC
NPI 1255094983
Social Worker - Clinical in Chicago, IL

Active since October 19, 2021
2804 W JEROME ST, CHICAGO, IL 60645(630) 701-5638 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Oct 19, 2021 (2 updates tracked since 2021).

About The Gifted Soul, Llc NPPES

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

THE GIFTED SOUL, LLC (NPI 1255094983) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since October 2021. The organization lists Kenyatta Nichole Williams-ross, Therapist, as its authorized official.

NPPES Registry Identity

NPI1255094983
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHE GIFTED SOUL, LLC
Location Address2804 W JEROME STChicago, IL 60645-1231
Mailing Address2804 W Jerome StChicago, IL 60645-1231 · (630) 701-5638
Phone(630) 701-5638
Organization SubpartNo
Authorized OfficialKenyatta Nichole Williams-rossTherapist · (630) 701-5638
Enumeration DateOctober 19, 2021
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1255094983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2804 W JEROME ST, Chicago, IL 60645
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 The Gifted Soul, LLC's NPI number?

The NPI number for The Gifted Soul, LLC is 1255094983. It was assigned to this organization in the NPPES registry on October 19, 2021.

Where is The Gifted Soul, LLC located?

The Gifted Soul, LLC is located at 2804 W Jerome St, Chicago, IL 60645. The listed phone number is (630) 701-5638.

What is The Gifted Soul, LLC'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 The Gifted Soul, LLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.