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SOUL PRACTICE LICENSED CLINICAL SOCIAL WORKER PC
NPI 1689471708
Social Worker - Clinical in East Los Angeles, CA

Active since February 26, 2025
657 SOUTH MCDONNELL AVE, EAST LOS ANGELES, CA 90022(800) 621-8119(800) 621-8119 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soul Practice Licensed Clinical Social Worker Pc NPPES

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

SOUL PRACTICE LICENSED CLINICAL SOCIAL WORKER PC (NPI 1689471708), doing business as Soul Practice Group, is a healthcare organization registered as a clinical in East Los Angeles, California and active in the NPI registry since February 2025. The organization lists Karla Gomez, Owner, as its authorized official.

NPPES Registry Identity

NPI1689471708
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUL PRACTICE LICENSED CLINICAL SOCIAL WORKER PC
Location Address657 SOUTH MCDONNELL AVEEast Los Angeles, CA 90022
Mailing Address1968 S Coast Hwy # 2987Laguna Beach, CA 92651-3681 · (800) 621-8119 · Fax (800) 621-8119
Phone(800) 621-8119
Fax(800) 621-8119
Organization SubpartNo
Authorized OfficialKarla GomezOwner · (800) 621-8119
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1689471708 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.
657 SOUTH MCDONNELL AVE, East Los Angeles, CA 90022
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Other Names 1

Doing Business AsSoul Practice Group

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 Soul Practice Licensed Clinical Social Worker PC's NPI number?

The NPI number for Soul Practice Licensed Clinical Social Worker PC is 1689471708. It was assigned to this organization in the NPPES registry on February 26, 2025. The provider is doing business as Soul Practice Group.

Where is Soul Practice Licensed Clinical Social Worker PC located?

Soul Practice Licensed Clinical Social Worker PC is located at 657 South Mcdonnell Ave, East Los Angeles, CA 90022. The listed phone number is (800) 621-8119.

What is Soul Practice 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 Soul Practice Licensed Clinical Social Worker PC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.