Safe Space Therapy Services, LCSW, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

072171 Issued in NY

Legal business name

SAFE SPACE THERAPY SERVICES, LCSW, PLLC

Practice address

1952 Williamsbridge Rd Ste 2
Bronx, NY 10461-1605

Phone

(347) 281-8188

Fax

(718) 303-4314

NPI assigned

Aug 3, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer B Jackson, LCSW-RNPI 1538386198

Title

Founder/ Ceo

Phone

(347) 281-8188

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jennifer Brown Jackson, LCSW

  • Clinical Social Worker
  • Bronx, NY
  • NPI 1538386198
  NPD Authorized official

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1215313184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 E 223RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665833",
            "telephone_number": "347-281-8188",
            "fax_number": "718-303-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 WILLIAMSBRIDGE RD STE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611605",
            "telephone_number": "347-281-8188",
            "fax_number": "718-303-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE THERAPY SERVICES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FOUNDER/ CEO",
        "authorized_official_telephone_number": "347-281-8188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "072171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03148987",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Safar, LMSW
• Mohammad Mujtaba Safdar
• Wasif Safdar
• Safe Health Medical Care PLLC
• Safe Space Licensed Clinical Social Work, P.C.
• Safeway Pharmacy Inc
• Shawheen Shawn Saffari, D.M.D.
• Don Andrew Safferstein, DDS
• Safia Pharmacy Inc
• No Name Given Safia Sultana, LPP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.