MEDICARE: LYNDSEY BRENNAN GARCIA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6137-C	NV

General Provider Information

NPI Number	:	1790019248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNDSEY BRENNAN GARCIA LCSW

Provider Business Mailing Address
First Line	:	7320 S RAINBOW BLVD
Second Line	:	#305
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-0406
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2980 S RAINBOW BLVD
Second Line	:	200A
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6531
Country	:	US
Telephone Number	:	702-994-9722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2009
Last Update Date	:	06/13/2014

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