Organization · Type 2 NPI

Innersoul Collective LLC

Clinical Social Worker · Champaign, IL

NPI number 1003623869 Active

Practice location

2604 Hunters Pond Run Apt 32
Champaign, IL 61820-2664

Mailing address

2005 N Prospect Ave # 1079
Champaign, IL 61822-1235

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003623869

Innersoul Collective LLC's National Provider Identifier is 1003623869, issued on Dec 16, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Jan 13, 2025.