Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Space to Be LLC

Organization Clinical Social Worker · NPI 1689591273

Space to Be LLC provides Clinical Social Worker services in Minneapolis, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2601 Humboldt Ave N
Minneapolis, MN 55411-2041
Phone: (612) 644-8390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1689591273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maia Jackson — Psychotherapist · (612) 644-8390
NPI enumeratedJuly 2, 2026
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address2601 Humboldt Ave N, Minneapolis, MN 55411-2041

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