Safe Space Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAFE SPACE COUNSELING SERVICES, PLLC

Practice address

2311 W Cone Blvd Ste 236
Greensboro, NC 27408-4062

Phone

(336) 223-5084

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Traci Abernethy, LCSWNPI 1548536485

Title

Owner

Phone

(336) 223-5084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Traci Michela Abernethy, LCSW

  • Clinical Social Worker
  • High Point, NC
  • NPI 1548536485
  NPD Authorized official

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1467026286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W CONE BLVD STE 236",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084062",
            "telephone_number": "336-223-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W CONE BLVD STE 236",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084062",
            "telephone_number": "336-223-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2024-06-12",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "ABERNETHY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-223-5084",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Sadlik
• Dustin Sadlowski, LCSW, LCAS
• Jennifer B Sadock, DC
• Safe Recovery and Wellness LLC
• Safe Ride Enterprises LLC
• Safe-Haven House II, LLC
• Kristin Taylor Sagar, MA, CCC-SLP
• Miguel Jose Sagardia, MD
• Sage Medical, PLLC
• Haley Sage, PA-C

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.