Jacquelyn Lisette Garcia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009370 Issued in NC

Practice address

1935 J N Pease PL Ste 102
Charlotte, NC 28262-4541

Phone

(954) 608-7446

NPI assigned

Feb 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Encuentros Family Therapy PLLC

  • Clinical Social Worker
  • Mint Hill, NC
  • NPI 1649142423
  NPD Authorized official

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1235521287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 J N PEASE PL STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 J N PEASE PL STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624541",
            "telephone_number": "954-608-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JACQUELYN",
        "middle_name": "LISETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-28",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW12176",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235521287",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizbeth Garcia
• Ethan Taylor Garcia
• Hannah Garcia, DC
• Jacqueline Garcia
• Jacquelyn Garcia, CPNP-AC, IBCLC
• Jenna Nicole Garcia, PA-C
• Jesseca Garcia, MMS, PA-C
• Jordan Barton Garcia, MD
• Marco Garcia, MD
• Olivia Michelle Garcia, NP

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.