SACRED SPACE, LLC
NPI 1679160063
Social Worker - Clinical in Gaithersburg, MD

Active since December 31, 2020
19310 SHERWOOD GREEN WAY, GAITHERSBURG, MD 20879(202) 567-7726 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sacred Space, Llc NPPES

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

SACRED SPACE, LLC (NPI 1679160063) is a healthcare organization registered as a clinical in Gaithersburg, Maryland and active in the NPI registry since December 2020. The organization lists Arielle Mesa, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1679160063
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSACRED SPACE, LLC
Location Address19310 SHERWOOD GREEN WAYGaithersburg, MD 20879
Mailing Address325 Ellington Blvd # 171Gaithersburg, MD 20878-4591 · (202) 567-7726
Organization SubpartNo
Authorized OfficialArielle MesaClinical Social Worker · (202) 265-1000
Enumeration DateDecember 31, 2020
NPPES CertifiedDecember 22, 2020
NPI 1679160063 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.
19310 SHERWOOD GREEN WAY, Gaithersburg, MD 20879

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 Sacred Space, LLC's NPI number?

The NPI number for Sacred Space, LLC is 1679160063. It was assigned to this organization in the NPPES registry on December 31, 2020.

Where is Sacred Space, LLC located?

Sacred Space, LLC is located at 19310 Sherwood Green Way, Gaithersburg, MD 20879. The listed phone number is (202) 567-7726.

What is Sacred Space, 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 Sacred Space, LLC was last updated on December 31, 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.