Provider Demographics
NPI:1306004486
Name:GARCIA, ISRAEL (LCSW-C, BCD)
Entity Type:Individual
Prefix:MR
First Name:ISRAEL
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LCSW-C, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RESEARCH CT STE 350
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6223
Mailing Address - Country:US
Mailing Address - Phone:800-790-8081
Mailing Address - Fax:800-790-8081
Practice Address - Street 1:1 RESEARCH CT STE 350
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6223
Practice Address - Country:US
Practice Address - Phone:800-790-8081
Practice Address - Fax:800-790-8081
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076598104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker