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

Soul Practice Licensed Clinical Social Worker PC

Organization Clinical Social Worker · NPI 1689471708

Soul Practice Licensed Clinical Social Worker PC is a Clinical Social Worker in East los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

657 S McDonnell Ave
East los Angeles, CA 90022
Phone: (800) 621-8119
Fax: (800) 621-8119
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 number1689471708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Gomez — Owner · (800) 621-8119
Other names Soul Practice Group
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 19, 2025
Mailing address1968 S Coast Hwy # 2987, Laguna Beach, CA 92651-3681

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