Safe Space Licensed Clinical Social Work, P.c.

NPI #1003575358 in Bronx, New York

Provider Information

NPI Number: 1003575358
Entity Type: Organization
Organization Name: Safe Space Licensed Clinical Social Work, P.c.
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 14, 2021
Last Updated: Aug 11, 2023

Practice Location

Address: 3249 KINGSBRIDGE AVE
City: Bronx
State: New York
ZIP Code: 10463-5514
Phone: (917) 969-2445

Authorized Official

Name: MS. MICHELLE FUENTES, LCSW
Title: OWNER
Phone: (863) 738-7808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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