Provider Demographics
NPI:1467500074
Name:GARCIA, SONIA A (LCSWR)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3306
Mailing Address - Country:US
Mailing Address - Phone:516-236-6277
Mailing Address - Fax:516-223-5949
Practice Address - Street 1:62 GUY LOMBARDO AVE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3715
Practice Address - Country:US
Practice Address - Phone:516-236-6277
Practice Address - Fax:516-223-5949
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0345731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPO34573OtherHIP
NY360432OtherMAGNACARE
NYMHS#576215OtherVALUE OPTIONS
NYP3668264OtherOXFORD