Active NPI
Leslie Michelle Garcia, LCSW
- Clinical Social Worker
- Woodside, NY
National Provider Identifier
1902080898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076422-1
- Practice address
- 4322 50TH St
Suite 202
Woodside, NY 11377-4496 - Phone
- (917) 572-0013
- Fax
- (917) 572-0013
- NPI assigned
- Dec 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 071729 | NY | |
| Clinical Social Worker | 1041C0700X | 076422-1 | NY | Primary |
Addresses
Primary practice location
4322 50TH St
Suite 202
Woodside, NY 11377-4496
Mailing address
4322 50TH St
Suite 2C
Woodside, NY 11377-4496
Phone (917) 572-0013
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076422-1 | NY | MD | Clinical Social Worker |
| 071729 | NY | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1902080898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4322 50TH ST",
"address_2": "SUITE 2C",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774496",
"telephone_number": "917-572-0013",
"fax_number": "917-572-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4322 50TH ST",
"address_2": "SUITE 202",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774496",
"telephone_number": "917-572-0013",
"fax_number": "917-572-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "LESLIE",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "071729",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076422-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.