Individual provider Active NPI

David G Garcia, LMSW, ACSW

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1376756221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801066100 Issued in MI
Practice address
5103 Eastman Ave
Suite 174
Midland, MI 48640-6785
Phone
(989) 450-1961
Fax
(898) 892-4962
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

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 6801066100 MI Primary

Addresses

Primary practice location

5103 Eastman Ave
Suite 174
Midland, MI 48640-6785

Mailing address

5103 Eastman Ave
Suite 174
Midland, MI 48640-6785
Phone (989) 450-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130520000319 MI Practitioner - Clinical Social Worker 4880831445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saginaw Psychological Services IncGroup PAC ID 8426961467, 19 clinicians

Practice addresses (Care Compare)

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801066100MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Childrens Services Mid-Michigan FCSM PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 2

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376756221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE",
            "address_2": "SUITE 174",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406785",
            "telephone_number": "989-450-1961",
            "fax_number": "898-892-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE",
            "address_2": "SUITE 174",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406785",
            "telephone_number": "989-450-1961",
            "fax_number": "898-892-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.