Provider Demographics
NPI:1750411054
Name:GARCIA, FRANK (LCSW NEW JERSEY)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LCSW NEW JERSEY
Other - Prefix:
Other - First Name:FACUNDO
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW NEW JERSEY
Mailing Address - Street 1:PO BOX 536
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071
Mailing Address - Country:US
Mailing Address - Phone:201-460-8904
Mailing Address - Fax:201-460-9925
Practice Address - Street 1:99 MULFORD ROAD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NJ
Practice Address - Zip Code:07821-1279
Practice Address - Country:US
Practice Address - Phone:973-383-6200
Practice Address - Fax:973-383-0359
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC049151001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical