Soul Care Licensed Clinical Social Worker Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUL CARE LICENSED CLINICAL SOCIAL WORKER INC.

Doing business as

Soul Care for Black Clinicians

Practice address

1316 Centinela Ave
Inglewood, CA 90302-1140

Phone

(424) 321-7685

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Latanya Tolan, LCSWNPI 1568582849

Title

Ceo

Phone

(800) 823-1772

Specialties & licenses 1

Addresses

Other names 1

• Soul Care for Black Clinicians Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latanya D Tolan, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1568582849
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1023608098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 W SLAUSON AVE # 116",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561290",
            "telephone_number": "800-823-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021140",
            "telephone_number": "424-321-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CARE LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "TOLAN",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-823-1772",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Care for Black Clinicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana Karen Soria
• Soteria Behavioral Health
• Soteria Home Health Agency, Inc.
• Carolyn Soto
• Victoria Lynn Soto
• Mehran Sourehnissani, M.D.
• South Bay Family Healthcare Center
• South Bay Wellness Center
• Southcal Therapeutic and Recovery Services,Inc
• Southern California Permanente Medical Group

• Mental Health Clinic/Center (Including Community Mental Health Center) in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.