Healthcare Provider Details

I. General information

NPI: 1871016220
Provider Name (Legal Business Name): MONIQUE JAYE GARCIA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2017
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 10TH ST STE 300
ALAMOGORDO NM
88310-6776
US

IV. Provider business mailing address

1605 GEORGE DIETER DR STE 636
EL PASO TX
79936-5600
US

V. Phone/Fax

Practice location:
  • Phone: 575-491-2968
  • Fax:
Mailing address:
  • Phone: 915-671-1371
  • Fax: 915-219-9022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-11142
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: