SAFE SPACE LICENSED CLINICAL SOCIAL WORK, P.C.
NPI 1003575358
Social Worker - Clinical in Bronx, NY

Q: What is Safe Space Licensed Clinical Social Work, P.C.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since December 14, 2021

3249 KINGSBRIDGE AVE, BRONX, NY 10463(917) 969-2445 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2023, Dec 24, 2021, Dec 14, 2021 (3 updates tracked since 2021).

On this page

About Safe Space Licensed Clinical Social Work, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAFE SPACE LICENSED CLINICAL SOCIAL WORK, P.C. (NPI 1003575358) is a healthcare organization registered as a clinical in Bronx, New York and active in the NPI registry since December 2021. The organization lists Michelle Fuentes, Owner, as its authorized official.

NPPES Registry Identity

NPI1003575358

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSAFE SPACE LICENSED CLINICAL SOCIAL WORK, P.C.

Location Address3249 KINGSBRIDGE AVEBronx, NY 10463-5514

Mailing Address8810 Fox DrPolk City, FL 33868-6024 · (863) 738-7808

Phone(917) 969-2445

Organization SubpartNo

Authorized OfficialMichelle FuentesOwner · (863) 738-7808

Enumeration DateDecember 14, 2021

Last NPPES UpdateAugust 11, 20233 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1003575358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3249 KINGSBRIDGE AVE, Bronx, NY 10463

Open in Google Maps ↗

Other Identifiers 1

Medicaid06578821NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA HARRINGTON

Counselor (Mental Health)