Provider Demographics
NPI:1811936115
Name:GARCIA, TANIA MILAGRO (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:MILAGRO
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 RIO DE JANEIRO AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33983-8649
Mailing Address - Country:US
Mailing Address - Phone:941-456-7949
Mailing Address - Fax:941-883-4840
Practice Address - Street 1:2000 RIO DE JANEIRO AVE STE 5
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33983-8649
Practice Address - Country:US
Practice Address - Phone:941-456-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW61171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical