Provider Demographics
NPI:1609434224
Name:GARCIA, LISA C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:C
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 1:1000 SUNSET BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5482
Mailing Address - Country:US
Mailing Address - Phone:916-784-6421
Mailing Address - Fax:916-784-6400
Practice Address - Street 1:1000 SUNSET BLVD STE 140
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5482
Practice Address - Country:US
Practice Address - Phone:916-784-6421
Practice Address - Fax:916-784-6400
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA784321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical