Active NPI
Mary Laura Garvey, LCSW
- Clinical Social Worker
- Palm Desert, CA
National Provider Identifier
1801950571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS15861
- Practice address
- 72855 Fred Waring Dr
Ste. C-16
Palm Desert, CA 92260-9367 - Phone
- (760) 779-0220
- Fax
- (760) 779-0222
- NPI assigned
- Dec 20, 2006
- 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 | LCS15861 | CA | Primary |
Addresses
Primary practice location
72855 Fred Waring Dr
Ste. C-16
Palm Desert, CA 92260-9367
Mailing address
72855 Fred Waring Dr
Ste. C-16
Palm Desert, CA 92260-9367
Phone (760) 779-0220
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 |
|---|---|---|---|
| LCS15861 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801950571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72855 FRED WARING DR",
"address_2": "STE. C-16",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922609367",
"telephone_number": "760-779-0220",
"fax_number": "760-779-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72855 FRED WARING DR",
"address_2": "STE. C-16",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922609367",
"telephone_number": "760-779-0220",
"fax_number": "760-779-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARVEY",
"first_name": "MARY",
"middle_name": "LAURA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS15861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.