Provider Demographics
NPI:1346006947
Name:LIMON-GARCIA, ILSE (MSW)
Entity Type:Individual
Prefix:
First Name:ILSE
Middle Name:
Last Name:LIMON-GARCIA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 GEMCREST DR NE
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-7424
Mailing Address - Country:US
Mailing Address - Phone:336-262-2000
Mailing Address - Fax:
Practice Address - Street 1:705 GEMCREST DR NE
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-7424
Practice Address - Country:US
Practice Address - Phone:336-262-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical