Soulful Somatics Licensed Clinical Social Worker PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOULFUL SOMATICS LICENSED CLINICAL SOCIAL WORKER PC

Practice address

4 Governors LN Ste C
Chico, CA 95926-5514

Phone

(530) 531-3459

Fax

(844) 525-7544

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Krisrin Brooke Free, LCSW

Title

Ceo/Owner

Phone

(530) 354-0455

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Brooke Free

  • Clinical Social Worker
  • Chico, CA
  • NPI 1992025993
  NPD

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1164135604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GOVERNORS LN STE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265514",
            "telephone_number": "530-531-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GOVERNORS LN STE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265514",
            "telephone_number": "530-531-3459",
            "fax_number": "844-525-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL SOMATICS LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "KRISRIN",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "530-354-0455",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592984",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Lisa Sosa
• Nicholas Sosebee
• Catherine P Soto, MD
• Dolores Soto
• Colton Soudan
• Ronda Marie Sousa, LICSW, ACSW
• Randal Scott Souza Sr.
• Julie A Sowerby, DO
• Jenae Elise Spain
• Wendy Erin Spalsbury, RN

• Clinical Social Worker in Chico, CA
• Providers in Chico, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.