SAFE SPACE COUNSELING LLC
NPI 1033905823
Social Worker - Clinical in Ashford, CT

Active since April 17, 2025
208 SLADE RD, ASHFORD, CT 06278(860) 858-1730(860) 300-1083 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Safe Space Counseling Llc NPPES

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

SAFE SPACE COUNSELING LLC (NPI 1033905823) is a healthcare organization registered as a clinical in Ashford, Connecticut and active in the NPI registry since April 2025. The organization lists Tara L Bergeron, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1033905823
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSAFE SPACE COUNSELING LLC
Location Address208 SLADE RDAshford, CT 06278-1418
Mailing Address208 Slade RdAshford, CT 06278-1418 · (860) 858-1730 · Fax (860) 300-1083
Fax(860) 300-1083
Organization SubpartNo
Authorized OfficialTara L BergeronLcsw · (860) 858-1730
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
NPI 1033905823 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.

208 SLADE RD, Ashford, CT 06278

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033905823, enumerated as an "organization" on April 17, 2025.

The provider is located at 208 SLADE RD ASHFORD, CT 06278 and the phone number is (860) 858-1730.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.