Individual provider Active NPI

Tayra Ludith Garcia, LMSW

  • Professional Counselor
  • Chesapeake Beach, MD
National Provider Identifier
1336979368
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
31942 Issued in MD
Practice address
3819 Harbor Rd Unit 103
Chesapeake Beach, MD 20732-3110
Phone
(410) 286-0547
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 31942 MD
Professional Counselor 101YP2500X 31942 MD Primary

Addresses

Primary practice location

3819 Harbor Rd Unit 103
Chesapeake Beach, MD 20732-3110

Mailing address

7473 Cavalcade Dr
Chesapeake Beach, MD 20732-4102
Phone (410) 610-2987

Other practice location 1

1300 Mercantile Ln Ste 100E
Largo, MD 20774-5383
Phone (301) 531-4227

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

LicenseStateTypeSpecialty
31942MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1336979368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7473 CAVALCADE DR",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207324102",
            "telephone_number": "410-610-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 HARBOR RD UNIT 103",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323110",
            "telephone_number": "410-286-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Mercantile Ln Ste 100E",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207745383",
            "country_code": "US",
            "telephone_number": "301-531-4227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TAYRA",
        "middle_name": "LUDITH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "31942",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "31942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake Beach, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.