Provider Demographics
NPI:1942651377
Name:LAVIND, VERONICA GARCIA (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:GARCIA
Last Name:LAVIND
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7618 TIMBERCROSS LN
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8381
Mailing Address - Country:US
Mailing Address - Phone:706-533-1001
Mailing Address - Fax:
Practice Address - Street 1:7618 TIMBERCROSS LN
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-8381
Practice Address - Country:US
Practice Address - Phone:706-533-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23579104100000X, 1041C0700X
CA71587104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker