Healthcare Provider Details

I. General information

NPI: 1609260587
Provider Name (Legal Business Name): VI ANN GARCIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VI ANN FARMER

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 POTOMAC ST STE L23
AURORA CO
80011-6742
US

IV. Provider business mailing address

7495 W 29TH AVE
WHEAT RIDGE CO
80033-8002
US

V. Phone/Fax

Practice location:
  • Phone: 303-360-6276
  • Fax: 303-360-3713
Mailing address:
  • Phone: 303-360-6276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09923638
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: