Clear Space Mh, LLC
NPI 1740918028ActiveOrganization· Social Worker, Clinical· Providence, RI
Social Worker, Clinical in Providence, Rhode Island, registered in NPPES in August 2022. The authorized official on file is Alicia V. Rodriguez, LICSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740918028 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2022 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
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