Practice Space Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRACTICE SPACE THERAPY LLC

Practice address

644 S 54TH St
Philadelphia, PA 19143-2604

Phone

(215) 792-3471

NPI assigned

Aug 21, 2026

Organization subpart

No

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

Authorized official

Name

Judith Max Palmer, LCSW

Title

Owner

Phone

(215) 792-3471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1477469161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 S 54TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432604",
            "telephone_number": "215-792-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 S 54TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432604",
            "telephone_number": "215-792-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE SPACE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-792-3471",
        "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": []
}

• Priya Darshini Prabhakar, M.D.
• Indhu Meera Prabhakaran, DO
• Aparna Madhava Prabhu, M.D.
• Nina Prabhu, M.D.
• Jamie Elizabeth Prachar, PTA
• Benjamin David Pradell
• Laura Prader
• Madhavi S. Pradhan, M.D.
• Madhura R Pradhan, M.D.
• David Gabriel Prado, D.O.

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.