Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innersoul Collective LLC

Organization Clinical Social Worker · NPI 1003623869

Innersoul Collective LLC is a Clinical Social Worker in Champaign, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2604 Hunters Pond Run Apt 32
Champaign, IL 61820-2664
Phone: (773) 234-6869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1003623869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cashonna Berger — Credentialing Specialist · (217) 799-1809
NPI enumeratedDecember 16, 2024
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address2005 N Prospect Ave # 1079, Champaign, IL 61822-1235

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