Jacob C Garcia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW-21683 Issued in FL

Practice address

199 Jones Ave
Niceville, FL 32578-2405

Phone

(850) 279-4576

NPI assigned

Dec 18, 2012

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayer Neurobehavioral Center, PLLC

  • Clinical Neuropsychologist
  • Fort Walton Beach, FL
  • NPI 1720470255
  Medicare reassignment NPD
• Aileen T. Playter, LLC

  • Mental Health Counselor
  • Niceville, FL
  • NPI 1073244638

  Clinical

  NPD

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1487990537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 JONES AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782405",
            "telephone_number": "719-323-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 JONES AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782405",
            "telephone_number": "850-279-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JACOB",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-07715",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW-21683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia R Francisco, D.M.D.
• Stacy Nicole Frazier, NP
• Aleecia Lynn Furlong
• Leah Thompson Gagnon, D.M.D.
• Jose Leon Garcia-Rios, M.D.
• Bianca Elisa Gardner, DMD
• Michael Gargas, PHARMD
• Garry G Banks MD PA
• Stephany Eloisa Gaubeca Deveault, RBT
• Alyssa Marie Gavulic Howk, PHD, LMHC-S, LMFT-S

• Clinical Social Worker in Niceville, FL
• Providers in Niceville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.