Jesse Garcia, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW 32338 Issued in ID

Practice address

1417 N 4TH St
Coeur D Alene, ID 83814-3310

Phone

(208) 619-0190

Fax

(208) 619-0195

NPI assigned

Oct 11, 2012

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1700138930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 E SELTICE WAY",
            "address_2": "SUITE D",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547082",
            "telephone_number": "208-619-0190",
            "fax_number": "208-619-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N 4TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143310",
            "telephone_number": "208-619-0190",
            "fax_number": "208-619-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JESSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW 32338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laiken Reann Gallis, M.S., CCC-SLP
• Kiana Danielle Gamble, DNP ,APRN-CNP,AGNP-C
• Sarah J Ganter
• William Francis Ganz, M.D.
• Erik Garcia, DO
• Caroline Renea Gardner, NP
• Ashley Marie Garner, BCBA
• Garrett Foster Garner, DMD
• Bryan William Garrett, ARNP
• Christopher Andrew Garrett, LCSW

• Social Worker in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.