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SACRED SPACE AN INTEGRATIVE WELLNESS COMMUNITY
NPI 1922606896
Social Worker - Clinical in West Babylon, NY

Active since October 13, 2020
445 LITTLE EAST NECK RD, WEST BABYLON, NY 11704(516) 265-2983 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sacred Space An Integrative Wellness Community NPPES

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

SACRED SPACE AN INTEGRATIVE WELLNESS COMMUNITY (NPI 1922606896) is a healthcare organization registered as a clinical in West Babylon, New York and active in the NPI registry since October 2020. The organization lists Jennifer Marie Hairston-davis, Lcsw-r, as its authorized official.

NPPES Registry Identity

NPI1922606896
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSACRED SPACE AN INTEGRATIVE WELLNESS COMMUNITY
Location Address445 LITTLE EAST NECK RDWest Babylon, NY 11704-6543
Mailing Address405 Marine LnWest Babylon, NY 11704-8208 · (516) 265-2983
Phone(516) 265-2983
Organization SubpartNo
Authorized OfficialJennifer Marie Hairston-davisLcsw-r · (516) 265-2983
Enumeration DateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1922606896 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.
445 LITTLE EAST NECK RD, West Babylon, NY 11704
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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 Sacred Space An Integrative Wellness Community's NPI number?

The NPI number for Sacred Space An Integrative Wellness Community is 1922606896. It was assigned to this organization in the NPPES registry on October 13, 2020.

Where is Sacred Space An Integrative Wellness Community located?

Sacred Space An Integrative Wellness Community is located at 445 Little East Neck Rd, West Babylon, NY 11704. The listed phone number is (516) 265-2983.

What is Sacred Space An Integrative Wellness Community'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 An Integrative Wellness Community was last updated on October 13, 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.