Provider Demographics
NPI:1205074804
Name:GARCIA, DANIEL JAMES (LCSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17632 IRVINE BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3148
Mailing Address - Country:US
Mailing Address - Phone:714-724-0499
Mailing Address - Fax:714-508-7301
Practice Address - Street 1:17632 IRVINE BLVD
Practice Address - Street 2:STE 250
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3148
Practice Address - Country:US
Practice Address - Phone:714-724-0499
Practice Address - Fax:714-508-7301
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS245981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical