Organization · Type 2 NPI

Mindful Space Therapy PLLC

Clinical Social Worker · San Antonio, TX

NPI number 1013842913 Active

Practice location

24405 Wilderness Oak Ste D
San Antonio, TX 78258-7874

Fax (210) 866-0353

Mailing address

PO Box 591191
San Antonio, TX 78259-0109

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 1013842913

Mindful Space Therapy PLLC's National Provider Identifier is 1013842913, issued on Jun 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Antonio, TX. The record was last updated on Jun 15, 2026.