Healing Space Therapy, Licensed Clinical Social Worker Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING SPACE THERAPY, LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

2230 W Chapman Ave Ste 207
Orange, CA 92868-2316

Phone

(562) 285-3509

NPI assigned

Jun 12, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hanh Dang, LCSW

Title

President

Phone

(562) 285-3509

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1003475047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE STE 207",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE STE 207",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682316",
            "telephone_number": "562-285-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SPACE THERAPY, LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "HANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-285-3509",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.