1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Social Worker
  6. NPI Profile

CLEAR SPACE MH, LLC
NPI 1740918028
Social Worker - Clinical in Providence, RI

Active since August 12, 2022
212 CALLA ST, PROVIDENCE, RI 02905(401) 376-3093 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2024, May 25, 2023, May 9, 2023 and 3 more (6 updates tracked since 2022).

About Clear Space Mh, Llc NPPES

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

CLEAR SPACE MH, LLC (NPI 1740918028) is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since August 2022. The organization lists Alicia V Rodriguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1740918028
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCLEAR SPACE MH, LLC
Location Address212 CALLA STProvidence, RI 02905
Mailing Address555 N Main St # 1171Providence, RI 02904-5722 · (401) 376-3093
Phone(401) 376-3093
Organization SubpartNo
Authorized OfficialAlicia V RodriguezOwner · (401) 376-3093
Enumeration DateAugust 12, 2022
Last NPPES UpdateDecember 18, 20246 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1740918028 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.
212 CALLA ST, Providence, RI 02905
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clear Space Mh, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clear Space Mh, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Madibet Gomez, LMHC
Mental Health Counselor
NPI 1922545011
118 PEERLESS ST
Cranston, RI 02910
(401) 996-1926
✔ PECOS✔ Accepts Medicare1.8 mi
Alicia Rodriguez, LICSW
Clinical Social Worker
NPI 1487206199
555 N MAIN ST # 1171
Providence, RI 02904
(401) 376-3093
✔ PECOS3.4 mi
Lucely Rodriguez
Clinical Social Worker
NPI 1093160558
6 UTTER ST
North Providence, RI 02904
(401) 376-3097
✔ PECOS5.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clear Space Mh, LLC's NPI number?

The NPI number for Clear Space Mh, LLC is 1740918028. It was assigned to this organization in the NPPES registry on August 12, 2022.

Where is Clear Space Mh, LLC located?

Clear Space Mh, LLC is located at 212 Calla St, Providence, RI 02905. The listed phone number is (401) 376-3093.

What is Clear Space Mh, LLC's specialty?

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

Is Clear Space Mh, LLC enrolled in Medicare?

Yes. Clear Space Mh, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clear Space Mh, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clear Space Mh, LLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clear Space Mh, LLC was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.