Individual provider Active NPI

Jennifer Edith Garcia, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1063813673
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW86902 Issued in CA
Practice address
2116 Arlington Ave # 100
Los Angeles, CA 90018-1353
Phone
(213) 215-2979
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW64059 CA
Clinical Social Worker 1041C0700X LCSW86902 CA Primary

Addresses

Primary practice location

2116 Arlington Ave # 100
Los Angeles, CA 90018-1353

Mailing address

2116 Arlington Ave
Los Angeles, CA 90018-1353
Phone (213) 215-2979

Other practice location 1

526 S San Pedro St
Los Angeles, CA 90013-2102
Phone (213) 488-9559

Other practice location 2

679 S New Hampshire Ave # 350
Los Angeles, CA 90005
Phone (323) 610-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210318000320 CA Practitioner - Clinical Social Worker 7810304821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW64059CAMDMental Health Counselor
LCSW86902CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The People Concern CurrentSince Dec 2, 2020 Accepting new patients
The People Concern Current Accepting new patients
Lamp Inc Past Accepting new patients

Locations

2116 Arlington Ave
Ste 100
Los Angeles, CA 90018

1751 Cloverfield Blvd
Santa Monica, CA 90404
Phone (310) 450-0650

Organizations & group practices 3

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": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1063813673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 ARLINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181353",
            "telephone_number": "213-215-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 ARLINGTON AVE # 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181353",
            "telephone_number": "213-215-2979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 S San Pedro St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900132102",
            "country_code": "US",
            "telephone_number": "213-488-9559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "679 S New Hampshire Ave # 350",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90005",
            "country_code": "US",
            "telephone_number": "323-610-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JENNIFER",
        "middle_name": "EDITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW64059",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW86902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.