Provider Demographics
NPI:1740542984
Name:GARCIA, ANITA FRANCINE (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:FRANCINE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 SUNNY BROOK TER APT 712
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-4339
Mailing Address - Country:US
Mailing Address - Phone:646-203-6258
Mailing Address - Fax:
Practice Address - Street 1:304 SUNNY BROOK TER APT 712
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4339
Practice Address - Country:US
Practice Address - Phone:646-204-6258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD227461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY171M00000XMedicaid