Individual provider Active NPI

Izamari Garcia, LCSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1659757169
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10088 Issued in CT
Practice address
56 Church St
Waterbury, CT 06702-2103
Phone
(203) 755-1196
NPI assigned
Aug 6, 2015
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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 10088 CT Primary

Addresses

Primary practice location

56 Church St
Waterbury, CT 06702-2103

Mailing address

44 Washington Ave
Seymour, CT 06483-3125
Phone (203) 278-1594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180228000672 CT Practitioner - Clinical Social Worker 9133355449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Staywell Health Care Inc.Group PAC ID 6305750480, 43 clinicians

Practice addresses (Care Compare)

2911 Dixwell Ave
Suite 300B
Hamden, CT 06518-3159
Phone (475) 441-9533

30 Church St
Naugatuck, CT 06770-4112
Phone (203) 805-4929

80 Phoenix Ave
Waterbury, CT 06702-1418
Phone (203) 757-5491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10088CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Staywell Health Care, Inc. CurrentSince Mar 11, 2020 Accepting new patients
Semilla de Esperanza Clinical Services LLC Clinical CurrentSince Oct 3, 2023 Accepting new patients
A Seed of Hope CT LLC Clinical CurrentSince Oct 15, 2023 Accepting new patients

Locations

2911 Dixwell Ave
Ste 300B
Hamden, CT 06518
Phone (475) 441-9533

1309 S Main St
Waterbury, CT 06706
Phone (203) 597-9044

402 E Main St
Waterbury, CT 06702
Phone (203) 755-1143

80 Phoenix Ave
Ste 201
Waterbury, CT 06702
Phone (203) 757-5491

80 Phoenix Ave
Ste 301
Waterbury, CT 06702

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1659757169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON AVE",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833125",
            "telephone_number": "203-278-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CHURCH ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022103",
            "telephone_number": "203-755-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "IZAMARI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.