Our Space Northeast
Social Worker, Clinical in Ridgewood, New Jersey
1588579775- Practice location
- 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
- Phone
- 201-714-0820
- Fax
- —
- Last updated
- August 14, 2026
Our Space Northeast is a healthcare organization based in Ridgewood, NJ. Our Space Northeast practices in Ridgewood, NJ. The NPI Number for Our Space Northeast is 1588579775. The current practice location address for Our Space Northeast is 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 and can be reached out via phone at 201-714-0820.
Provider Profile Details
- NPI Number
- 1588579775
- Provider Name
- Our Space Northeast
- Provider Entity Type
- Organization
- Address
- 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199
- Phone Number
- 201-714-0820
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Jacqueline Collard, DSW, LCSW · Owner/Lcsw · 908-721-6728
- Provider Enumeration Date
- August 14, 2026
- Last Update Date
- August 14, 2026
- Certification Date
- August 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 88 W Ridgewood Ave
Ridgewood, NJ 07450-3199 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3199
- Phone Number
- 201-714-0820
Provider Business Mailing Address Details
- Address
- 130 W Pleasant Ave Ste 85
Maywood, NJ 07607-1335 - City
- Maywood
- State
- NJ
- Zip
- 07607-1335
- Phone Number
- 201-714-0820
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Ridgewood, NJ
View all Social Worker, Clinical providers in Ridgewood →- Alison Klein, LCSWSocial Worker, Clinical · NPI 1316605546
- Andrea C Marana LLCSocial Worker, Clinical · NPI 1336512664
- Andrea Korn, LSWSocial Worker, Clinical · NPI 1427734219
- Blue Skies Ahead TherapySocial Worker, Clinical · NPI 1508569138
- Brigid CaffreySocial Worker, Clinical · NPI 1487165528
- Carrie L FogelSocial Worker, Clinical · NPI 1568697845
Frequently Asked Questions
What is the NPI number of Our Space Northeast?
The NPI number of Our Space Northeast is 1588579775. It was assigned on August 14, 2026 and is currently active in the NPPES registry.
What is the specialty of Our Space Northeast?
Our Space Northeast is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Our Space Northeast practice?
The practice location is 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199. The office can be reached at 201-714-0820 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588579775 directly on the NPPES registry website.