Safe Space Licensed Clinical Social Work, P.C.
NPI 1003575358ActiveOrganization· Social Worker, Clinical· Bronx, NY
Social Worker, Clinical in Bronx, New York, registered in NPPES in December 2021. The authorized official on file is Michelle Fuentes, LCSW, Owner.
Overview
| NPI | 1003575358 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2021 |
| Last updated in NPPES | Aug 11, 2023 |
| Certified by provider | Aug 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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