MEDICARE: LUCIA GARCIA MSW

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
1	101YM0800X	Mental Health Counselor	ASW112966	CA
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1689447252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCIA GARCIA MSW

Provider Business Mailing Address
First Line	:	2240 SANTA FE AVE APT J
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90810-3582
Country	:	US
Telephone Number	:	323-540-1170
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 SANTA FE AVE APT J
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90810-3582
Country	:	US
Telephone Number	:	323-540-1170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	01/03/2024

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