Organization Active NPI

Samantha Garcia PLLC

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1104587815
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAMANTHA GARCIA PLLC
Practice address
2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168
Phone
(231) 252-0518
Fax
(231) 943-2555
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Samantha Garcia, LMSW
Title
Director
Phone
(231) 252-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168

Mailing address

2785 Garfield Rd N Ste C
Traverse City, MI 49686-5168
Phone (231) 252-0518

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1104587815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 GARFIELD RD N STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865168",
            "telephone_number": "231-252-0518",
            "fax_number": "231-943-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 GARFIELD RD N STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865168",
            "telephone_number": "231-252-0518",
            "fax_number": "231-943-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA GARCIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-252-0518",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.