Provider Demographics
NPI:1851853261
Name:GARCIA, ERIN OBRIEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:OBRIEN
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:OBRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 DICKINSON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-6418
Mailing Address - Country:US
Mailing Address - Phone:267-428-0088
Mailing Address - Fax:
Practice Address - Street 1:3535 MARKET ST STE 500
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3344
Practice Address - Country:US
Practice Address - Phone:267-428-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0203281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical