Individual provider Active NPI

Jose Daniel Garcia, LMSW,LCSW

  • Clinical Social Worker
  • Williamston, MI
National Provider Identifier
1043981954
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095326 Issued in MI
Practice address
301 Williamston Center Rd Ste 800
Williamston, MI 48895-8502
Phone
(517) 996-6097
Fax
(517) 996-6099
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095326 MI Primary

Addresses

Primary practice location

301 Williamston Center Rd Ste 800
Williamston, MI 48895-8502

Mailing address

823 W Prouty St
Kalamazoo, MI 49007-1703
Phone (269) 625-1761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801095326MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Conversations Counseling Clinical CurrentSince Sep 28, 2021 Accepting new patients

Locations

301 Williamston Center Rd
Ste 800
Williamston, MI 48895
Phone (517) 996-6097

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1043981954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W PROUTY ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490071703",
            "telephone_number": "269-625-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WILLIAMSTON CENTER RD STE 800",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488958502",
            "telephone_number": "517-996-6097",
            "fax_number": "517-996-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOSE",
        "middle_name": "DANIEL",
        "credential": "LMSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.