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 provides Clinical Social Worker services 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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