Provider Demographics
NPI:1912457763
Name:GARCIA, MARIA MAGDALENA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:MAGDALENA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:MGARDALENA
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:20 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2805
Mailing Address - Country:US
Mailing Address - Phone:347-835-0060
Mailing Address - Fax:
Practice Address - Street 1:20 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2805
Practice Address - Country:US
Practice Address - Phone:347-835-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0882381041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY252Y00000XOtherAGENCY PROVIDERS