Individual provider Active NPI

Maria S. Garcia, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1306995709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P038417-1 Issued in NY
Practice address
630 Jackson Ave
Bronx, NY 10455-3107
Phone
(718) 993-3006
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 P038417-1 NY Primary

Addresses

Primary practice location

630 Jackson Ave
Bronx, NY 10455-3107

Mailing address

900C Wheeler Ave
PH
Bronx, NY 10473-4513
Phone (718) 993-3006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190710002829 NY Practitioner - Clinical Social Worker 6901131119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P038417-1NYMDClinical Social Worker
038417NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc CurrentSince May 27, 2019 Accepting new patients
Jewish Board of Family & Childrens Services Inc Current Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince May 27, 2019 Accepting new patients
Hunts Point Multi-Service Center., Inc Past Accepting new patients

Locations

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

1526 Grand Concourse
Bronx, NY 10457
Phone (718) 282-3425

Organizations & group practices 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306995709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900C WHEELER AVE",
            "address_2": "PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104734513",
            "telephone_number": "718-993-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 JACKSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553107",
            "telephone_number": "718-993-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARIA",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P038417-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.