Organization · Type 2 NPI
A Mindful Space Therapy and Coaching PLLC
Clinical Social Worker · Ottawa, IL
Practice location
1476 N 3039th Rd
Ottawa, IL 61350-9032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1487528964
A Mindful Space Therapy and Coaching PLLC's National Provider Identifier is 1487528964, issued on Sep 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ottawa, IL. The record was last updated on Dec 9, 2025.