NPIMap

Organization Active NPI

Well Space, LLC

  • Clinical Social Worker
  • Lehigh Acres, FL
National Provider Identifier
1366030934
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELL SPACE, LLC
Practice address
3606 14TH St SW
Lehigh Acres, FL 33976-2949
Phone
(239) 788-4485
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Ms. Katia Jasmin Robinson Lucero, LCSWNPI 1003276833
Title
Licensed Clinical Social Worker
Phone
(239) 788-4485

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 Primary

Addresses

Primary practice location

3606 14TH St SW
Lehigh Acres, FL 33976-2949

Mailing address

3606 14TH St SW
Lehigh Acres, FL 33976-2949
Phone (239) 788-4485

Other identifiers 1

IdentifierTypeStateIssuer
018998800MedicaidFL

Other names 1

  • Well Space, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1366030934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 14TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762949",
            "telephone_number": "239-788-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 14TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762949",
            "telephone_number": "239-788-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL SPACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "ROBINSON LUCERO",
        "authorized_official_first_name": "KATIA",
        "authorized_official_middle_name": "JASMIN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "239-788-4485",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018998800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Space, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Well Space, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.