Healthcare Provider Details

I. General information

NPI: 1922630847
Provider Name (Legal Business Name): AURY GARCIA LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2020
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 SW 8TH ST # 1537
MIAMI FL
33130-3601
US

IV. Provider business mailing address

1065 SW 8TH ST # 1537
MIAMI FL
33130-3601
US

V. Phone/Fax

Practice location:
  • Phone: 215-645-2747
  • Fax:
Mailing address:
  • Phone: 215-645-2747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW019188
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: