Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Safe Space Licensed Clinical Social Work, PC

Organization Clinical Social Worker · NPI 1003575358

Safe Space Licensed Clinical Social Work, PC is a Clinical Social Worker in Bronx, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3249 Kingsbridge Ave
Bronx, NY 10463-5514
Phone: (917) 969-2445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1003575358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Fuentes — Owner · (863) 738-7808
NPI enumeratedDecember 14, 2021
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address8810 Fox Dr, Polk City, FL 33868-6024

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