Provider Demographics
NPI:1063794311
Name:GARCIA, EVELYN ISABEL (LCSW, PPSC)
Entity type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:ISABEL
Last Name:GARCIA
Suffix:
Gender:
Credentials:LCSW, PPSC
Other - Prefix:
Other - First Name:EVELYN
Other - Middle Name:ISABEL
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, PPSC
Mailing Address - Street 1:9300 IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2813
Mailing Address - Country:US
Mailing Address - Phone:562-922-7488
Mailing Address - Fax:
Practice Address - Street 1:9300 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2813
Practice Address - Country:US
Practice Address - Phone:310-956-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program