Soulful Healing & Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOULFUL HEALING & WELLNESS

Doing business as

Soulful Healing & Wellness

Practice address

225 Main St.
Pawtucket, RI 02860

Phone

(401) 263-1203

NPI assigned

Aug 5, 2025

Organization subpart

No

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

Authorized official

Name

Clyde Antonio Hilliard, LCSWNPI 1316648819

Title

Therapist/Owner

Phone

(401) 263-1203

Specialties & licenses 1

Addresses

Other names 1

• Soulful Healing & Wellness Doing business as

Locations

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.

• Clyde Antonio Hilliard

  • Clinical Social Worker
  • Providence, RI
  • NPI 1316648819
  NPD Authorized official

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1871477307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 AUGUST ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082905",
            "telephone_number": "401-263-1203",
            "fax_number": "401-263-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST.",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-263-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 August St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029082905",
            "country_code": "US",
            "telephone_number": "401-263-1203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOULFUL HEALING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "401-263-1203",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulful Healing & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.