Organization · Type 2 NPI

The Spaces In Between, PLLC

Clinical Social Worker · Charlotte, NC

NPI number 1093682254 Active

Practice location

11525 Ballantyne Green Drive Apt. 1109
Charlotte, NC 28277

Mailing address

7014 Smith Corners Blvd # 1080
Charlotte, NC 28269-3793

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 1093682254

The Spaces In Between, PLLC's National Provider Identifier is 1093682254, issued on Oct 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 22, 2025.