Organization · Type 2 NPI

Soul Restoration Counseling Services PLLC

Clinical Social Worker · Knightdale, NC

NPI number 1043843790 Active

Practice location

101 Scott Ct
Knightdale, NC 27545-9508

Call (919) 391-5128 Map

Mailing address

PO Box 1397
Knightdale, NC 27545-1397

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1043843790

Soul Restoration Counseling Services PLLC's National Provider Identifier is 1043843790, issued on Feb 20, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Knightdale, NC. The record was last updated on Oct 13, 2025.