Provider Demographics
NPI:1568964450
Name:GARCIA, ANTONINA (LCSW)
Entity Type:Individual
Prefix:DR
First Name:ANTONINA
Middle Name:
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 1:14 HARBOR CT
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1697
Mailing Address - Country:US
Mailing Address - Phone:609-658-2828
Mailing Address - Fax:732-605-1108
Practice Address - Street 1:14 HARBOR CT
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-1697
Practice Address - Country:US
Practice Address - Phone:609-658-2828
Practice Address - Fax:732-605-1108
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001826001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical