Individual provider Active NPI

Anna Garcia, LCSW

  • Clinical Social Worker
  • Grapevine, TX
National Provider Identifier
1730990706
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106219 Issued in TX
Practice address
1135 S Main St
Grapevine, TX 76051-7533
Phone
(817) 329-5041
NPI assigned
Jan 17, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 106219 TX Primary

Addresses

Primary practice location

1135 S Main St
Grapevine, TX 76051-7533

Mailing address

1135 S Main St
Grapevine, TX 76051-7533
Phone (682) 203-3502

Other names 1

  • Anna Malagon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250221001442 TX Practitioner - Clinical Social Worker 3779003637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106219TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Leavell, PHD, PLLC CurrentSince Dec 6, 2024 Accepting new patients

Locations

1135 S Main St
Grapevine, TX 76051
Phone (817) 329-5041

Organizations & group practices 1

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730990706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517533",
            "telephone_number": "682-203-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517533",
            "telephone_number": "817-329-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "MALAGON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.