# CLEAR SPACE MH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740918028
- **Authorized official:** ALICIA V RODRIGUEZ LICSW (OWNER)
- **Authorized official phone:** (401) 376-3093

## Contact information

- **Practice address:** 212 CALLA ST, PROVIDENCE, RI 02905
- **Practice address phone:** (401) 376-3093
- **Mailing address:** 555 N MAIN ST \# 1171, PROVIDENCE, RI 02904-5722
- **Mailing address phone:** (401) 376-3093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2022
- **Last updated:** 12/18/2024