Organization Active NPI

A Safe Space Therapeutic Services, PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1144164229
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
A SAFE SPACE THERAPEUTIC SERVICES, PLLC
Practice address
2015 Copper Leaf Pkwy
Durham, NC 27703-7707
Phone
(919) 948-0105
NPI assigned
Apr 17, 2026
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Shakeda Muldrow, LCSWNPI 1760907646
Title
Owner
Phone
(919) 948-0105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2015 Copper Leaf Pkwy
Durham, NC 27703-7707

Mailing address

3064 Wake Forest Rd # 1180
Raleigh, NC 27609-7844
Phone (919) 948-0105

National Provider Directory

National Provider Directory

Locations

2015 Copper Leaf Pkwy
Durham, NC 27703
Phone (919) 948-0105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1144164229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 WAKE FOREST RD # 1180",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097844",
            "telephone_number": "919-948-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 COPPER LEAF PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037707",
            "telephone_number": "919-948-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFE SPACE THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "MULDROW",
        "authorized_official_first_name": "SHAKEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-948-0105",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.