Geovanny Javier Garcia, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.1111489 Issued in IL

Practice address

760 Foxpointe Dr
Sycamore, IL 60178-3290

Phone

(815) 748-8334

Fax

(815) 748-8921

NPI assigned

Nov 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kishwaukee Community Health Services Center

  dba Kishwaukee Community Hospital

  • Psychiatric Hospital Unit
  • Dekalb, IL
  • NPI 1902079973
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1174281950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 FOXPOINTE DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783290",
            "telephone_number": "815-748-8334",
            "fax_number": "815-748-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 FOXPOINTE DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783290",
            "telephone_number": "815-748-8334",
            "fax_number": "815-748-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GEOVANNY",
        "middle_name": "JAVIER",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.1111489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Armor Therapy LLC
• Nikita Gandhi, ARNP
• Liliana Garcia-Kantola, RBT-20-121371
• Andrew Garcia
• Elizabeth Ann Garcia, PH.D.
• Gateway Physical Therapy, LLC
• Karen Joanne Geist
• Genesis Pediatric Medicine, LLC
• George Gonnella DO LLC
• Michelle L. Gesing, PSYD

• Social Worker in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.