This Space Between

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THIS SPACE BETWEEN

Practice address

75 S Church St Ste 22
Pittsfield, MA 01201-6128

Phone

(727) 223-1303

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Rebecca Waite, LCSW, LICSWNPI 1225657620

Title

Owner/Therapist

Phone

(727) 223-1303

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Waite

  • Clinical Social Worker
  • Pittsfield, MA
  • NPI 1225657620
  NPD Authorized official
• James G Bridges

  • Marriage & Family Therapist
  • Pittsfield, MA
  • NPI 1568961704
  NPD

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1093301145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010860363",
            "telephone_number": "727-223-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S CHURCH ST STE 22",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016128",
            "telephone_number": "727-223-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIS SPACE BETWEEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "727-223-1303",
        "authorized_official_credential": "LCSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Recovery Room LLC
• The Rest Practice PLLC
• The Stop & Shop Supermarket Company, LLC
• The Stop & Shop Supermarket Company, LLC
• Jessica Thibeault, MSW
• Carl Edward Thomas I
• Susan Marlene Thomas
• Caitlyn Thompson
• Donald J Thomson, M.D.
• Suzanne Thomson

• Clinical Social Worker in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.