Provider Demographics
NPI:1245854421
Name:GARCIA FIGUEROA, VIRGEN MARIA (LCSW)
Entity type:Individual
Prefix:
First Name:VIRGEN
Middle Name:MARIA
Last Name:GARCIA FIGUEROA
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 1:4707 ORLEANS CT APT B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-8840
Mailing Address - Country:US
Mailing Address - Phone:860-922-4073
Mailing Address - Fax:
Practice Address - Street 1:2247 PALM BEACH LAKES BLVD STE 205
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3409
Practice Address - Country:US
Practice Address - Phone:860-922-4073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW169701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical