Safe Space Talk

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAFE SPACE TALK

Practice address

1301 Huntington Rd
Stratford, CT 06614-2301

Phone

(929) 333-6813

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Tanya Dawson, LCSWNPI 1053831768

Title

Owner

Phone

(929) 333-6813

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Tanya Dawson, LMSW

  • Clinical Social Worker
  • Mount Vernon, NY
  • NPI 1053831768
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1700538485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HUNTINGTON RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142301",
            "telephone_number": "929-333-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HUNTINGTON RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142301",
            "telephone_number": "929-333-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE TALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-333-6813",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053831768",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "safespacetalk@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "client communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company email",
            "address_1": "1301 Huntington Rd",
            "city": "Stratford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066142301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Whitney Russo
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• Susan Rzucidlo, N.D.
• S Colwell, LLC
• Jessica Amelia Samaroo, ND
• Angelica Sampson
• Mark Samuels
• Morgane Dominique Sansone, DPT
• Chelsea Santos, LPN

• Clinical Social Worker in Stratford, CT
• Providers in Stratford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.