Healthcare Provider Details

I. General information

NPI: 1801917323
Provider Name (Legal Business Name): JUDITH ANN GARCIA RN, MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 CLAYTON RD SUITE 208
SAINT LOUIS MO
63117-1328
US

IV. Provider business mailing address

7700 CLAYTON RD SUITE 208
SAINT LOUIS MO
63117-1328
US

V. Phone/Fax

Practice location:
  • Phone: 314-647-3558
  • Fax: 314-647-3605
Mailing address:
  • Phone: 314-647-3558
  • Fax: 314-647-3605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW000276
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberSW000276
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSW000276
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberSW000276
License Number StateMO
# 5
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSW000276
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: