SOUL RESTORE (NPI# 1497313282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497313282 |
| Entity Type | Organization |
| Organization Name | SOUL RESTORE |
| Practice Address |
1629 K St Nw Washington DC 20006-1602 |
| Mailing Address |
2513 West St Se Washington DC 20020-4414 |
| Practice Telephone | 2027516444 |
| Mailing Telephone | 2027516444 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | KEAN GLEN OLIVER BAXTER (OWNER) |
| Authorized Official Telephone | 2027516444 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1629 K ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20006-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063446995 | Jerri L Anglin | Social Worker | 1629 K St Nw, Washington, DC 20006-1602 | 2006-07-10 |
| 1083221774 | Shanae Payne | Counselor | 1629 K St Nw, Washington, DC 20006-1602 | 2020-09-26 |
| 1194339879 | Jasmine C Dixon | Social Worker | 1629 K St Nw, Washington, DC 20006-1602 | 2020-09-01 |
| 1306482146 | Francis Mbunwe Bup | In Home Supportive Care | 1629 K St Nw, Washington, DC 20006-1602 | 2019-11-26 |
| 1629625751 | Paul Badoh | Adult Companion | 1629 K St Nw, Washington, DC 20006-1602 | 2019-08-22 |
| 1790280162 | Khamil Omitogun | Chore Provider | 1629 K St Nw, Washington, DC 20006-1602 | 2018-03-28 |
| 1245738848 | Choices In Healing and Recovery LLC | Social Worker | 1629 K St Nw, Choices In Healing & Recovery LLC Suite 300, Washington, DC 20006 | 2018-01-29 |
| 1821502493 | Ann Ijeh | Naturopath | 1629 K St Nw, Washington, DC 20006-1602 | 2017-11-19 |
| 1699284315 | Proximity Care Inc | In Home Supportive Care | 1629 K St Nw, Washington, DC 20006-1602 | 2017-09-26 |
| 1265968267 | Within Reach, LLC | Social Worker | 1629 K St Nw, Suite 300, Washington, DC 20006-1602 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063035228 | Synapse Virtual Care Management, Inc | Emergency Medicine | 1701 Pennsylvania Ave, Northwest, Suite 200#pmb133, Washington, DC 20006 | 2020-05-22 |
| 1427687383 | Arlene S Bein | Social Worker | 1725 Eye St N.w., Suite 300, Washington, DC 20006 | 2020-04-03 |
| 1336700160 | Northrium Health LLC | Internal Medicine | 1673 K Street #300 Nw, Washington, DC 20006 | 2019-06-24 |
| 1376007674 | I. Shand Counseling Pllc | Counselor | 16290 K St Nw, Suite 300, Washington, DC 20006 | 2019-01-31 |
| 1831653088 | Faithnprogress Psychological Services, Pllc | Psychologist | 1627 K St., Nw, 4th Floor, Washington, DC 20006 | 2019-01-22 |
| 1598236697 | Arilma Milagros St.clair I | Nurse Practitioner | 1889 F Street Nw, Tl-46 Health Unit, Washington, DC 20006 | 2018-12-16 |
| 1134699358 | Petrina Laton Williams | Social Worker | 1300 I Street Nw, Ste 400, Washington, DC 20006 | 2018-11-30 |
| 1154890531 | Victoria Albina Health & Wellness | Nurse Practitioner | 1915 I St. Nw, #700, Washington, DC 20006 | 2018-11-15 |
| 1104314343 | Tamara Jackson | Psychologist | 1725 I Street Nw, Suite 300, Washington, DC 20006 | 2018-04-24 |
| 1730693953 | Bar Lehmann | Social Worker | 1627 K St. Nw, Washington, DC 20006 | 2017-11-27 |
| Find all providers in zip 20006 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254769 | Ayana E Thompson | Social Worker | 706 Burns St Se, Washington, DC 20019-4913 | 2020-10-27 |
| 1265030282 | Amy Killy | Social Worker | 5402 Connecticut Ave Nw Ste 102, Washington, DC 20015-2830 | 2020-10-12 |
| 1144828385 | Ann Morrison | Social Worker | 5333 Connecticut Ave Nw Apt 528, Washington, DC 20015-1895 | 2020-10-10 |
| 1225645591 | Rs Davis Health & Wellness, LLC | Social Worker | 3200 Martin Luther King Jr Ave Se, Washington, DC 20032-1538 | 2020-09-30 |
| 1114534716 | Beth Anne Henson | Social Worker | 2717 Unicorn Ln Nw, Washington, DC 20015-2233 | 2020-09-28 |
| 1588271407 | Andrew Thomas | Social Worker | 801 Pa Ave Se, Washington, DC 20003-2167 | 2020-09-24 |
| 1043826324 | Wellness Reset Solutions LLC | Social Worker | 255 Carroll St Nw Apt 552, Washington, DC 20012-2093 | 2020-09-21 |
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1538779863 | Moore Therapeutic and Consulting Services | Social Worker | 1600 Maryland Ave Ne Apt 257, Washington, DC 20002-7662 | 2020-08-02 |
| 1992313266 | Paula Nicole Thomason | Social Worker | 4407 2nd St Ne Apt 2, Washington, DC 20011-5142 | 2020-07-22 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20006 |
Please comment or provide details below to improve the information on SOUL RESTORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.