Individual provider Active NPI

Michelle C. Garcia, LMSW

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1386998136
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7956409 Issued in NY
Practice address
3710 Richmond Ave
Staten Island, NY 10312-3848
Phone
(347) 533-0515
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7956409 NY Primary

Addresses

Primary practice location

3710 Richmond Ave
Staten Island, NY 10312-3848

Mailing address

52 Figurea Ave
Staten Island, NY 10312-3235
Phone (347) 533-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20240206004820 NY Practitioner - Clinical Social Worker 9830532829 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7956409NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Supportive Care Psychology of Ny PC CurrentSince Jan 15, 2024 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Sep 1, 2024 Accepting new patients
MCCD Psychiatry Services PLLC CurrentSince Apr 22, 2024 Accepting new patients
Shine Medical PC Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

48 Cedar St
Brooklyn, NY 11221
Phone (718) 455-6200

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

1765 South Ave
Staten Island, NY 10314
Phone (718) 982-6982

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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1386998136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 FIGUREA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123235",
            "telephone_number": "347-533-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123848",
            "telephone_number": "347-533-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MICHELLE",
        "middle_name": "C.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "7956409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.