Soul Renewal Therapy LLC
NPI 1417759655 · Clinical Social Worker · Riverside, IL
Soul Renewal Therapy LLC is a Clinical Social Worker organization in Riverside, IL (NPI 1417759655).
Provider details
- NPI number
- 1417759655
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amy Kienow Paychek, Lcsw(605) 380-0349
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-26
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Frequently asked questions
- What is Soul Renewal Therapy LLC's NPI number?
- Soul Renewal Therapy LLC's National Provider Identifier (NPI) is 1417759655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soul Renewal Therapy LLC?
- Soul Renewal Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Soul Renewal Therapy LLC located?
- Soul Renewal Therapy LLC's practice location on file with NPPES is 338 Lawton Rd, Riverside, IL 60546-2359.
- What is Soul Renewal Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Soul Renewal Therapy LLC is (605) 380-0349.
- Who is the authorized official for Soul Renewal Therapy LLC?
- The authorized official listed on Soul Renewal Therapy LLC's NPPES record is Amy Kienow Paychek, Lcsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soul Renewal Therapy LLC's NPI active?
- Yes — Soul Renewal Therapy LLC's NPI (1417759655) is active in the NPPES registry as of the last update on 2025-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.