Provider Demographics
NPI:1477791945
Name:GARCIA, MARCIA P (LCSW)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:P
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5565 NETHERLAND AVE APT 6F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2378
Mailing Address - Country:US
Mailing Address - Phone:718-601-0503
Mailing Address - Fax:
Practice Address - Street 1:5565 NETHERLAND AVE APT 6F
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2378
Practice Address - Country:US
Practice Address - Phone:718-601-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR046710-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical