Healthcare Provider Details

I. General information

NPI: 1477980779
Provider Name (Legal Business Name): ANGEL ANYA GARCIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 GEORGIA ST NE STE A4
ALBUQUERQUE NM
87110-1391
US

IV. Provider business mailing address

4609 SUNSHINE PL SW
ALBUQUERQUE NM
87105-6440
US

V. Phone/Fax

Practice location:
  • Phone: 505-891-1583
  • Fax: 505-848-9468
Mailing address:
  • Phone: 505-220-6332
  • Fax: 505-848-9468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-11011
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: