Individual provider Active NPI

Jonathan Manuel Garcia, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1306462247
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18439 Issued in AZ
Practice address
1520 E Pima St
Phoenix, AZ 85034-4639
Phone
(480) 831-7566
NPI assigned
Jun 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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 18439 AZ Primary

Addresses

Primary practice location

1520 E Pima St
Phoenix, AZ 85034-4639

Mailing address

1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098
Phone (480) 831-7566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20200714003690 AZ Practitioner - Clinical Social Worker 4385067909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

1520 E Pima St
Phoenix, AZ 85034-4639
Phone (480) 831-7566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18439AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little Colorado Behavioral Health Center Inc. CurrentSince Jul 1, 2025 Accepting new patients
Little Colorado Behavioral Health Center Inc. CurrentSince Jul 1, 2025 Accepting new patients
Community Bridges, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Community Bridges, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Community Bridges, Inc. Current Accepting new patients

Locations

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

1125 W Jackson St
Phoenix, AZ 85007
Phone (602) 393-9930

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1306462247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029098",
            "telephone_number": "480-831-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E PIMA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344639",
            "telephone_number": "480-831-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JONATHAN",
        "middle_name": "MANUEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "18439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.