Provider Demographics
NPI:1003915497
Name:GARCIA, ELIZABETH D (LMSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:D
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21228 NEWCASTLE RD
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-2313
Mailing Address - Country:US
Mailing Address - Phone:313-820-6690
Mailing Address - Fax:
Practice Address - Street 1:100 KERCHEVAL AVE
Practice Address - Street 2:SUITE D
Practice Address - City:GROSSE POINTE FARMS
Practice Address - State:MI
Practice Address - Zip Code:48236-3635
Practice Address - Country:US
Practice Address - Phone:313-820-6690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010846571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical