Active NPI
Blanca Nelly Garcia, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1740720820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54675
- Practice address
- 3930 Poinsettia Dr
Dallas, TX 75211-8509 - Phone
- (323) 630-6191
- NPI assigned
- Mar 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 54675 | TX | Primary |
Addresses
Primary practice location
3930 Poinsettia Dr
Dallas, TX 75211-8509
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-6714
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54675 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1740720820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "214-456-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 POINSETTIA DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752118509",
"telephone_number": "323-630-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "BLANCA",
"middle_name": "NELLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.