Individual provider Active NPI

Christine Garcia, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1841950425
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012710 Issued in VA
Practice address
3388 Princess Anne Rd Ste 2001
Virginia Beach, VA 23456-2612
Phone
(757) 227-5055
Fax
(833) 406-3955
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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 0904012710 VA Primary

Addresses

Primary practice location

3388 Princess Anne Rd Ste 2001
Virginia Beach, VA 23456-2612

Mailing address

3388 Princess Anne Rd Ste 2001
Virginia Beach, VA 23456-2612
Phone (757) 227-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220302001042 VA Practitioner - Clinical Social Worker 4880088137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904012710VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jan 24, 2022 Accepting new patients
Sentara Medical Group CurrentSince Jan 24, 2022 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

3388 Princess Anne Rd
Ste 2001
Virginia Beach, VA 23456
Phone (757) 227-5055

Organizations & group practices 2

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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1841950425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 PRINCESS ANNE RD STE 2001",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234562612",
            "telephone_number": "757-227-5055",
            "fax_number": "833-406-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 PRINCESS ANNE RD STE 2001",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234562612",
            "telephone_number": "757-227-5055",
            "fax_number": "833-406-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.