Organization Active NPI

Safe Social Space LLC

  • Community/Behavioral Health Agency
  • Fort Washington, PA
National Provider Identifier
1457221640
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAFE SOCIAL SPACE LLC
Practice address
500 Office Center Dr Ste 400
Fort Washington, PA 19034-3234
Phone
(267) 944-3587
Fax
(215) 940-9743
NPI assigned
Nov 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Latia D Sheppard-Wilson, MS
Title
Ceo
Phone
(267) 944-6823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 Office Center Dr Ste 400
Fort Washington, PA 19034-3234

Mailing address

500 Office Center Dr Ste 400
Fort Washington, PA 19034-3234
Phone (267) 944-3587

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1457221640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OFFICE CENTER DR STE 400",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343234",
            "telephone_number": "267-944-3587",
            "fax_number": "215-940-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OFFICE CENTER DR STE 400",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343234",
            "telephone_number": "267-944-3587",
            "fax_number": "215-940-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SOCIAL SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD-WILSON",
        "authorized_official_first_name": "LATIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-944-6823",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.