Juan Ramon Garcia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10924 Issued in FL

Practice address

3670 NE Indian River Dr
Jensen Beach, FL 34957-4116

Phone

(772) 919-1978

NPI assigned

Jan 4, 2019

Last updated

Jan 4, 2019By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1639642432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 NE INDIAN RIVER DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574116",
            "telephone_number": "772-919-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 NE INDIAN RIVER DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574116",
            "telephone_number": "772-919-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3593 SW Corporate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349908154",
            "country_code": "US",
            "telephone_number": "772-919-1978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JUAN",
        "middle_name": "RAMON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CSW/MFT/MHC",
            "identifier": "SW10924",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylee Amber Fittipaldi, MSW
• Florida Foot & Ankle, LLC
• Florida Woman Care, LLC
• Focused Learning & Performance Enhancement LLC
• Courtney Ford, BCBA
• Susana Garcia
• Bridget K Garland, OT
• Robin William Garvin, MD
• Ana L Gatzke, PT
• Nancy J.I. Geib, R.D.N., L.D.

• Clinical Social Worker in Jensen Beach, FL
• Providers in Jensen Beach, 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 Jan 4, 2019; 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.