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General NPI Number Information
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NPI Number | 1700763588
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Entity Type | Organization
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Legal Business Name | GRACE GARCIA, LCSW, PLLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 6719 BEACH CHANNEL DR
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City | ARVERNE
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State | NY
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Zip | 11692-1417
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Country | US
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Telephone | 631-213-1616
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Fax | 631-919-0203
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Provider Business Mailing Address
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Address Line | 6719 BEACH CHANNEL DR
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City | ARVERNE
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State | NY
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Zip | 11692-1417
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Country | US
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Telephone | 631-213-1616
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Fax | 631-919-0203
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GRACE GARCIA
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Credential | LCSW
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Telephone | 631-213-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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