Provider Demographics
NPI:1164101523
Name:GARCIA PRESA, GABRIELA GUADALUPE (ASW)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:GUADALUPE
Last Name:GARCIA PRESA
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 GATEWAY CENTER WAY STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-4544
Mailing Address - Country:US
Mailing Address - Phone:619-772-2579
Mailing Address - Fax:619-717-8863
Practice Address - Street 1:995 GATEWAY CENTER WAY STE 106
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-4544
Practice Address - Country:US
Practice Address - Phone:619-772-2579
Practice Address - Fax:619-717-8863
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1188101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical