Healthcare Provider Details

I. General information

NPI: 1245615061
Provider Name (Legal Business Name): ANITA GARCIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4851 INDEPENDENCE ST HUMAN RESOURCES
WHEAT RIDGE CO
80033-6715
US

IV. Provider business mailing address

9485 W COLFAX AVE
LAKEWOOD CO
80215-3918
US

V. Phone/Fax

Practice location:
  • Phone: 303-425-0300
  • Fax: 303-432-5071
Mailing address:
  • Phone: 303-432-5200
  • Fax: 303-432-5260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number989139
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: