The Space Between Creative Grief Studio, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE SPACE BETWEEN CREATIVE GRIEF STUDIO, LLC

Practice address

1555 55TH St
Washougal, WA 98671-6806

Phone

(360) 335-4805

NPI assigned

Feb 23, 2022

Organization subpart

No

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

Authorized official

Name

Laura Calabrese, LICSWNPI 1699072587

Title

Owner/Clinician

Phone

(360) 335-4805

Specialties & licenses 1

Addresses

Other names 1

• The Space Between Creative Grief Studio, LLC Doing business as

Practitioners 1

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

• Laura Beth Calabrese, LICSW

  • Clinical Social Worker
  • Washougal, WA
  • NPI 1699072587
  NPD Authorized official

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1245986843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 55TH ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986716806",
            "telephone_number": "360-335-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 55TH ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986716806",
            "telephone_number": "360-335-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPACE BETWEEN CREATIVE GRIEF STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "CALABRESE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "360-335-4805",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Space Between Creative Grief Studio, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Swanburg, LMT
• Jennifer Tanguay
• Fawn Dew Tanner, LMP
• Holly Taylor, LMP
• Nichole Leigh Terrell, L.M.P
• Donald E Thieman, M.D.
• Thrifty Payless Inc
• Rujard Atom Thurmer, DC
• Stefanie Catherine Helene Townsend, SI 60788477
• Daria Troitskaya

• Clinical Social Worker in Washougal, WA
• Providers in Washougal, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.