Active NPI
Hugo Garcia, AWS
- Clinical Social Worker
- Marina, CA
National Provider Identifier
1669848974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW104979
- Practice address
- 299 12TH St Ste a
Marina, CA 93933-6003 - Phone
- (834) 647-7652
- NPI assigned
- Aug 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW104979 | CA | Primary |
Addresses
Primary practice location
299 12TH St Ste a
Marina, CA 93933-6003
Mailing address
299 12TH St Ste a
Marina, CA 93933-6003
Phone (831) 647-7652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW104979 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1669848974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 12TH ST STE A",
"city": "MARINA",
"state": "CA",
"postal_code": "939336003",
"telephone_number": "831-647-7652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 12TH ST STE A",
"city": "MARINA",
"state": "CA",
"postal_code": "939336003",
"telephone_number": "834-647-7652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "HUGO",
"credential": "AWS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-20",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW104979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.