SOUL WERK CAFE PLLC
NPI 1750986279
Social Worker - Clinical in Richton Park, IL

Active since December 02, 2020
4137 SAUK TRL STE 217, RICHTON PARK, IL 60471(708) 580-6042 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Apr 4, 2024, Dec 2, 2020 (3 updates tracked since 2020).

About Soul Werk Cafe Pllc NPPES

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

SOUL WERK CAFE PLLC (NPI 1750986279) is a healthcare organization registered as a clinical in Richton Park, Illinois and active in the NPI registry since December 2020. The organization lists Shaniqua Ford, Owner/lead Therapist, as its authorized official.

NPPES Registry Identity

NPI1750986279
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUL WERK CAFE PLLC
Location Address4137 SAUK TRL STE 217Richton Park, IL 60471-1253
Mailing Address4137 Sauk Trl Ste 217Richton Park, IL 60471-1253 · (708) 580-6042
Organization SubpartNo
Authorized OfficialShaniqua FordOwner/lead Therapist · (773) 574-2570
Enumeration DateDecember 2, 2020
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1750986279 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
4137 SAUK TRL STE 217, Richton Park, IL 60471

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 2

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

Social Worker (Clinical)
4137 SAUK TRL STE 217
RICHTON PARK, IL 60471
Counselor (Mental Health)
4137 SAUK TRL STE 217
RICHTON PARK, IL 60471

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 Werk Cafe PLLC's NPI number?

The NPI number for Soul Werk Cafe PLLC is 1750986279. It was assigned to this organization in the NPPES registry on December 2, 2020.

Where is Soul Werk Cafe PLLC located?

Soul Werk Cafe PLLC is located at 4137 Sauk Trl Ste 217, Richton Park, IL 60471. The listed phone number is (708) 580-6042.

What is Soul Werk Cafe PLLC'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 Werk Cafe PLLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.