Organization · Type 2 NPI

Safe Space Licensed Clinical Social Work, P.c.

Clinical Social Worker · Bronx, NY

NPI number 1003575358 Active

Practice location

3249 Kingsbridge Ave
Bronx, NY 10463-5514

Call (917) 969-2445 Map

Mailing address

8810 Fox Dr
Polk City, FL 33868-6024

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003575358

Safe Space Licensed Clinical Social Work, P.c.'s National Provider Identifier is 1003575358, issued on Dec 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Aug 11, 2023.