SOULU (NPI# 1689029050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689029050 |
| Entity Type | Organization |
| Organization Name | SOULU |
| Other Organization Name | MADRAIGOS MIDWEST |
| Practice Address |
3557 W Peterson Ave #122 Chicago IL 60659 |
| Practice Telephone | 7734786000 |
| Practice Fax Number | 7734786516 |
| Mailing Telephone | 7734786000 |
| Mailing Fax Number | 7734786516 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | JAY GREENBERGER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7734786000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Madraigos Midwest | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SOULUMINATION | 1100 Nw 52nd St, Seattle, WA 98107-5129 |
| Colorado Business Entities | Souluminous, LLC | 601 Animas View Drive, #204, Durango, CO 81301 |
| New York State Corporations | SOULUTION ENTERPRISES, LLC | 175 Peat Bed Rd, Hannibal, New York 13074 |
| Oregon Corporations, Companies and Business Names | SOULUTION STUDIOS LLC | 444 Ne 69th Ave, Portland, OR 97213 |
| New York State Corporations | SOULUTIONS 33 INC. | 554 Mirror Pond Court, Moriches, Ny 11955 |
| Connecticut Business Registrations | SOULUTIONS 4 LIVING, LLC | 50 Waterbury Rd # 140, Prospect, CT 06712 |
| Connecticut Business Registrations | SOULUTIONS PSYCHIC FAIRS, LLC | 145 Rangeley St., West Haven, CT 06516 |
| Oregon Corporations, Companies and Business Names | SOULUTIONS SERVICES, LLC | 1231 14th Ave Sw, Albany, OR 97321 |
| Colorado Business Entities | Soulutions Tech LLC | 6327 Willow Springs Drive, Morrison, CO 80465 |
| System for Award Management (SAM) Entities | SOULUTIONS THERAPEUTIC SERVICES | 5855 Valley Dr Unit 1054, North Las Vegas, NV 89031-3630 |
| Street Address |
3557 W PETERSON AVE #122 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| 1063758068 | New Age Home Health | Home Health | 3601 W. Devon Ave, # 108, Chicago, IL 60659 | 2012-12-19 |
| Find all providers in zip 60659 | ||||
| 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 |
|---|---|---|---|---|
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
| Find all providers in CHICAGO | ||||
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| 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.