SOUL NETWORK NPI 1417720202

NPI Information

  • NPI: 1417720202
  • Provider Name: SOUL NETWORK
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 3013 CHAMPION LN SW
    CONCORD, NC
    ZIP 28025
  • Phone: (704) 890-2971

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NPI Details

SOUL NETWORK is a clinical social worker in Concord, NC. The provider is 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. SOUL NETWORK NPI is 1417720202. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3013 CHAMPION LN SW
CONCORD, NC
ZIP 28025-012
Phone: (704) 890-2971

The provider's authorized official is Sandra Thomas .
The authorized official title is Executive Director and has the following contact phone number (704) 890-2971.

The enumeration date for this NPI number is 11/2/2023 and was last updated on 11/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2251B00000XCase ManagementNo
31041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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