=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740542984
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANITA FRANCINE GARCIA LCSW-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2012
-----------------------------------------------------
Last Update Date | 04/10/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 304 SUNNY BROOK TER APT 712
-----------------------------------------------------
City | GAITHERSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20877-4339
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-204-6258
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 304 SUNNY BROOK TER APT 712
-----------------------------------------------------
City | GAITHERSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20877-4339
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-203-6258
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 22746
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------