Provider Demographics
NPI:1205993375
Name:GARNICA, EMILY GILL (LCSW)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:GILL
Last Name:GARNICA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:EMMY
Other - Middle Name:GILL
Other - Last Name:GARNICA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2047 SAN ELIJO AVE # J
Mailing Address - Street 2:SUITE J
Mailing Address - City:CARDIFF BY THE SEA
Mailing Address - State:CA
Mailing Address - Zip Code:92007-1726
Mailing Address - Country:US
Mailing Address - Phone:760-943-0319
Mailing Address - Fax:
Practice Address - Street 1:2047 SAN ELIJO AVE # J
Practice Address - Street 2:SUITE J
Practice Address - City:CARDIFF BY THE SEA
Practice Address - State:CA
Practice Address - Zip Code:92007-1726
Practice Address - Country:US
Practice Address - Phone:760-943-0319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS70681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical