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THESPACEBETWEENCOUNSELINGSERVICESLICENSEDCLINICALSOCIALWORKERINC
NPI 1457948077
Social Worker - Clinical in Grand Terrace, CA

Active since December 29, 2020
12139 MOUNT VERNON AVE STE 200A, GRAND TERRACE, CA 92313(951) 465-5812(951) 346-5680 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc NPPES

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

THESPACEBETWEENCOUNSELINGSERVICESLICENSEDCLINICALSOCIALWORKERINC (NPI 1457948077) is a healthcare organization registered as a clinical in Grand Terrace, California and active in the NPI registry since December 2020. The organization lists Zuelika C Xicotencatl, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1457948077
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHESPACEBETWEENCOUNSELINGSERVICESLICENSEDCLINICALSOCIALWORKERINC
Location Address12139 MOUNT VERNON AVE STE 200AGrand Terrace, CA 92313-5547
Mailing Address12139 Mount Vernon Ave Ste 200aGrand Terrace, CA 92313-5547 · (951) 465-5812 · Fax (951) 346-5680
Phone(951) 465-5812
Fax(951) 346-5680
Organization SubpartNo
Authorized OfficialZuelika C XicotencatlLcsw · (951) 465-5812
Enumeration DateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1457948077 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.
12139 MOUNT VERNON AVE STE 200A, Grand Terrace, CA 92313
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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 NPPES & CMS

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

What is Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc's NPI number?

The NPI number for Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc is 1457948077. It was assigned to this organization in the NPPES registry on December 29, 2020.

Where is Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc located?

Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc is located at 12139 Mount Vernon Ave Ste 200A, Grand Terrace, CA 92313. The listed phone number is (951) 465-5812.

What is Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc'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 Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.