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SAGE SPACE RETREAT LLC
NPI 1043077092
Social Worker - Clinical in Longmont, CO

Active since March 05, 2024
8536 FOXHAVEN DR., LONGMONT, CO 80503(720) 963-8111 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sage Space Retreat Llc NPPES

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

SAGE SPACE RETREAT LLC (NPI 1043077092) is a healthcare organization registered as a clinical in Longmont, Colorado and active in the NPI registry since March 2024. The organization lists Elena Georgouses, Co-owner/clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1043077092
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSAGE SPACE RETREAT LLC
Location Address8536 FOXHAVEN DR.Longmont, CO 80503-8698
Mailing Address8536 Foxhaven Dr.Longmont, CO 80503-8698 · (970) 471-2297 · Fax (970) 476-5299
Phone(720) 963-8111
Organization SubpartNo
Authorized OfficialElena GeorgousesCo-owner/clinical Social Worker · (970) 471-2297
Enumeration DateMarch 5, 2024
✔ NPI 1043077092 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.
8536 FOXHAVEN DR., Longmont, CO 80503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sage Space Retreat LLC's NPI number?

The NPI number for Sage Space Retreat LLC is 1043077092. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Sage Space Retreat LLC located?

Sage Space Retreat LLC is located at 8536 Foxhaven Dr., Longmont, CO 80503. The listed phone number is (720) 963-8111.

What is Sage Space Retreat LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sage Space Retreat LLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.