Individual provider Active NPI

Carlos Garcia, LCSW

  • Clinical Social Worker
  • Cottonwood, AZ
National Provider Identifier
1750013801
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22880 Issued in AZ
Practice address
8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone
(877) 634-7333
NPI assigned
Jun 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-7370T AZ
Clinical Social Worker 1041C0700X LCSW-22880 AZ Primary

Addresses

Primary practice location

8 E Cottonwood St
Cottonwood, AZ 86326-4382

Mailing address

4825 N Socorro Dr
Prescott Valley, AZ 86314-7139
Phone (928) 710-0509

Other names 1

  • Carlos Garcia Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carlosg@spectrumhealthcare-group.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250410003060 AZ Practitioner - Clinical Social Worker 2668996695 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-7370TAZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Clinical CurrentSince Apr 1, 2025 Accepting new patients
Denova Collaborative Health, LLC Past Accepting new patients
Denova Collaborative Health, LLC Past Accepting new patients

Locations

1250 W Washington St
Ste 215
Tempe, AZ 85288
Phone (602) 842-7042

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Interoperability endpoints

  • Direct secure messaging: carlos.garcia.p1@direct.spectrumhg.nextgenshare.com

Organizations & group practices 3

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1750013801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 N SOCORRO DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863147139",
            "telephone_number": "928-710-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264382",
            "telephone_number": "877-634-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CARLOS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-7370T",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlosg@spectrumhealthcare-group.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8 E Cottonwood St",
            "city": "Cottonwood",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863264382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "GARCIA",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.