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

Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc

Organization Clinical Social Worker · NPI 1457948077

Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc is a Clinical Social Worker in Grand Terrace, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

12139 Mount Vernon Ave Ste 200A
Grand Terrace, CA 92313-5547
Phone: (951) 465-5812
Fax: (951) 346-5680
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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 number1457948077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zuelika Xicotencatl — Lcsw · (951) 465-5812
NPI enumeratedDecember 29, 2020
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020
Mailing address12139 Mount Vernon Ave Ste 200a, Grand Terrace, CA 92313-5547

Other providers in Grand Terrace