Active NPI
Jesse Garcia, LCSW-S
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1073989083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 57269
- Practice address
- 6031 Pineland Dr Apt 1211
Dallas, TX 75231-5451 - Phone
- (806) 239-0674
- NPI assigned
- Aug 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 57269 | TX | Primary |
Addresses
Primary practice location
6031 Pineland Dr Apt 1211
Dallas, TX 75231-5451
Mailing address
6031 Pineland Dr Apt 1211
Dallas, TX 75231-5451
Phone (806) 239-0674
Other names 1
- Mr. Jessie Garcia
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57269 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1073989083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6031 PINELAND DR APT 1211",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315451",
"telephone_number": "806-239-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6031 PINELAND DR APT 1211",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315451",
"telephone_number": "806-239-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JESSE",
"name_prefix": "Mr.",
"credential": "LCSW-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-12",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "57269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSIE",
"last_name": "GARCIA",
"prefix": "MR.",
"credential": "LCSW-S",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.