Andrea T Garcia, LCSW

Individual provider Active NPI Clinical Social Worker · Santa Fe, NM

NPI 1861969644 · NPPES record last updated Aug 8, 2023

Key facts

NPI
1861969644
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C-12000 (NM)
Practice address
2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone
(505) 471-5006
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211202001066 NM Practitioner - Clinical Social Worker 3971993189 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Current
since Nov 9, 2021
Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services Current
since Nov 9, 2021
Accepting new patients
Youth Shelters and Family Services Past Accepting new patients

Locations

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

2504 Camino Entrada
Santa Fe, NM 87507
Phone (505) 216-2727

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-12000 NM Yes

Addresses

Primary practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Mailing address

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 471-5006

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.