Safe Space Counseling, PLLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAFE SPACE COUNSELING, PLLC.

Practice address

22560 Phelps St
Clinton Township, MI 48036

Phone

(586) 419-3851

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Anika Davis-Watley, LMSWNPI 1932587995

Title

Resident Agent

Phone

(586) 419-3851

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Anika Davis-Watley, LMSW

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1932587995
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1184326951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 15 MILE RD # 216",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124210",
            "telephone_number": "586-419-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22560 PHELPS ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-419-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE COUNSELING, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS-WATLEY",
        "authorized_official_first_name": "ANIKA",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "586-419-3851",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932587995",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Sachs
• Roger Jonathan Sacla
• Allison Sadowski, DO
• Magdalena Sadowski
• Safe Haven Assistance
• Brittany Sager, PMHNP-BC
• Ethan Abraham Sagher, MD
• Eva Saha, M.D.
• Joyanta Kumar Saha, M.D.
• Belsam Saif-Kosho, D.O

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.