Provider Demographics
NPI:1245561935
Name:GARCIA-ROSE, LINDA (LMSW, LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:GARCIA-ROSE
Suffix:
Gender:F
Credentials:LMSW, LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 RIVER TER
Mailing Address - Street 2:SUITE 22D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10282-1203
Mailing Address - Country:US
Mailing Address - Phone:646-250-8212
Mailing Address - Fax:
Practice Address - Street 1:20 RIVER TER
Practice Address - Street 2:SUITE 22D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10282-1203
Practice Address - Country:US
Practice Address - Phone:646-250-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075503-11041C0700X
NY078311102L00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst