Individual provider Active NPI

Josephine C. Carandang-Garcia, LCSW-C

  • Clinical Social Worker
  • Odenton, MD
National Provider Identifier
1093919045
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11293 Issued in MD
Practice address
8288 Telegraph Rd
Suite a
Odenton, MD 21113-1130
Phone
(443) 538-4114
NPI assigned
Jun 13, 2007
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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 11293 MD Primary

Addresses

Primary practice location

8288 Telegraph Rd
Suite a
Odenton, MD 21113-1130

Mailing address

1005 Simsbury CT
Crofton, MD 21114-1663
Phone (443) 538-4114

Other identifiers 1

IdentifierTypeStateIssuer
670769MedicaidMD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11293MDMDSpeech-Language Pathologist

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1093919045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SIMSBURY CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141663",
            "telephone_number": "443-538-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8288 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131130",
            "telephone_number": "443-538-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARANDANG-GARCIA",
        "first_name": "JOSEPHINE",
        "middle_name": "C.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670769",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.