MEDICARE: MR. STEVEN MICHAEL 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	0904006035	VA

General Provider Information

NPI Number	:	1922108075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN MICHAEL GARCIA LCSW

Provider Business Mailing Address
First Line	:	2018 NORTH WOODROW STREET
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207
Country	:	US
Telephone Number	:	703-403-4914
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 WASHINGTON BLVD FL 4
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-5717
Country	:	US
Telephone Number	:	703-228-1698
Fax Number	:	703-228-1117

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	03/20/2014

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