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

The Gifted Soul, LLC

Organization Clinical Social Worker · NPI 1255094983

The Gifted Soul, LLC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2804 W Jerome St
Chicago, IL 60645-1231
Phone: (630) 701-5638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1255094983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenyatta Williams-Ross — Therapist · (630) 701-5638
NPI enumeratedOctober 19, 2021
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address2804 W Jerome St, Chicago, IL 60645-1231

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