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 provides Clinical Social Worker services 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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