Provider Demographics
NPI:1336781962
Name:LINDA GARCIA-ROSE LCSW AND ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:LINDA GARCIA-ROSE LCSW AND ASSOCIATES, PLLC
Other - Org Name:LINDA GARCIA-ROSE LCSW-R & ASSOCIATES, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:646-250-8212
Mailing Address - Street 1:20 RIVER TER APT 19B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10282-1215
Mailing Address - Country:US
Mailing Address - Phone:646-250-8212
Mailing Address - Fax:
Practice Address - Street 1:299 BROADWAY STE 1115
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1901
Practice Address - Country:US
Practice Address - Phone:646-250-8212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1427642560Medicaid
NY1346692506Medicaid
NY1699407320Medicaid
NY1215536354Medicaid
NY1306000682Medicaid
NY1336781962Medicaid
NY1679013379Medicaid
NY1033650171Medicaid
NY1447610092Medicaid
NY1518675602Medicaid
NY1740787308Medicaid
NY1366918021Medicaid
NY1245561935Medicaid
NY1801236120Medicaid
NY1649979535Medicaid
NY1649984337Medicaid
NY1932633757Medicaid