Individual provider Active NPI

Priscila Garcia, MSW

  • Clinical Social Worker
  • Santa Fe Springs, CA
National Provider Identifier
1700212925
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW107121 Issued in CA
Practice address
11741 Telegraph Rd
Santa Fe Springs, CA 90670-3681
Phone
(562) 801-0381
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW63375 CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X LCSW107121 CA Primary

Addresses

Primary practice location

11741 Telegraph Rd
Santa Fe Springs, CA 90670-3681

Mailing address

4900 Serrania Ave
Woodland Hills, CA 91364-3301
Phone (818) 657-3123

Other practice location 1

4900 Serrania Ave
Woodland Hills, CA 91364-3301
Phone (818) 657-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW63375CAMDMental Health Counselor
LCSW107121CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics CurrentSince Mar 1, 2022 Accepting new patients
Pacific Clinics Current Accepting new patients
Pacific Clinics CurrentSince Mar 1, 2022 Accepting new patients
Pacific Clinics PastSince Sep 25, 2022 Accepting new patients

Locations

251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083

235 N Central Ave
Glendale, CA 91203
Phone (818) 547-9544

66 Hurlbut St
Pasadena, CA 91105

1020 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 403-2794

11741 Telegraph Rd
Ste Abc
Santa Fe Springs, CA 90670
Phone (562) 801-0318

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1700212925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SERRANIA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643301",
            "telephone_number": "818-657-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 TELEGRAPH RD",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703681",
            "telephone_number": "562-801-0381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Serrania Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913643301",
            "country_code": "US",
            "telephone_number": "818-657-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PRISCILA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW63375",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW107121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.