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NPI 1750153706

NPI 1750153706 : ASHLEY GARCIA LCSW : NEW HAVEN, CT

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General NPI Number Information
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    NPI Number           |    1750153706
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY GARCIA LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/24/2023
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    Last Update Date     |    06/27/2025
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Provider Practice Location Address
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    Address Line         |    374 GRAND AVE 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06513-3733
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    Country              |    US
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    Telephone            |    203-777-7411
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    103 FRANKLIN ST 
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    City                 |    LITTLE FERRY
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    State                |    NJ
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    Zip                  |    07643-1204
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    44SL06639700
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    License Number State |    NJ
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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       |    7051
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    License Number State |    CT
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