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NPI Code Detail

MEDICARE: MARTHA L GARCIA PHD, LCSW-R

MEDICARE:   MARTHA L GARCIA  PHD, LCSW-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TP2701XGroup Psychotherapy PsychologistR073581NY
21041C0700XClinical Social WorkerR073581NY

General Provider Information

NPI Number : 1386537678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA L GARCIA PHD, LCSW-R
Provider Business Mailing Address
First Line : 7610 34TH AVE APT 6L
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-2241
Country : US
Telephone Number : 646-208-2707
Fax Number :
Provider Business Practice Location Address
First Line : 7610 34TH AVE APT 6L
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-2241
Country : US
Telephone Number : 646-208-2707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2025
Last Update Date : 06/03/2025

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Directions to “ MARTHA L GARCIA PHD, LCSW-R” Practice Location

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