Active NPI
Jessica Garcia, LCSW
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1124438262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11253
- Practice address
- 4333 Bayside Village Dr
Apt. 106
Tampa, FL 33615-5571 - Phone
- (813) 600-0310
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- 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 | SW11253 | FL | Primary |
Addresses
Primary practice location
4333 Bayside Village Dr
Apt. 106
Tampa, FL 33615-5571
Mailing address
4333 Bayside Village Dr
Apt. 106
Tampa, FL 33615-5571
Phone (813) 600-0310
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 |
|---|---|---|---|
| SW11253 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1124438262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 BAYSIDE VILLAGE DR",
"address_2": "APT. 106",
"city": "TAMPA",
"state": "FL",
"postal_code": "336155571",
"telephone_number": "813-600-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4333 BAYSIDE VILLAGE DR",
"address_2": "APT. 106",
"city": "TAMPA",
"state": "FL",
"postal_code": "336155571",
"telephone_number": "813-600-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.