SOUL RENEWAL THERAPY LLC
NPI 1417759655
Social Worker - Clinical in Riverside, IL

Active since March 26, 2025
338 LAWTON RD, RIVERSIDE, IL 60546(605) 380-0349 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soul Renewal Therapy Llc NPPES

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

SOUL RENEWAL THERAPY LLC (NPI 1417759655) is a healthcare organization registered as a clinical in Riverside, Illinois and active in the NPI registry since March 2025. The organization lists Amy Kienow Paychek, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1417759655
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUL RENEWAL THERAPY LLC
Location Address338 LAWTON RDRiverside, IL 60546-2359
Mailing Address338 Lawton RdRiverside, IL 60546-2359 · (605) 380-0349
Organization SubpartNo
Authorized OfficialAmy Kienow PaychekLcsw · (605) 380-0349
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
NPI 1417759655 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.

338 LAWTON RD, Riverside, IL 60546

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

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
338 LAWTON RD
RIVERSIDE, IL 60546

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 Soul Renewal Therapy LLC's NPI number?

The NPI number for Soul Renewal Therapy LLC is 1417759655. It was assigned to this organization in the NPPES registry on March 26, 2025.

Where is Soul Renewal Therapy LLC located?

Soul Renewal Therapy LLC is located at 338 Lawton Rd, Riverside, IL 60546. The listed phone number is (605) 380-0349.

What is Soul Renewal Therapy 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 Soul Renewal Therapy LLC was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.