Provider Demographics
NPI:1386537678
Name:GARCIA, MARTHA L (PHD, LCSW-R)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:L
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PHD, LCSW-R
Other - Prefix:DR
Other - First Name:MARTHA
Other - Middle Name:LUCIA
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TORRES
Mailing Address - Street 1:7610 34TH AVE APT 6L
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2241
Mailing Address - Country:US
Mailing Address - Phone:646-208-2707
Mailing Address - Fax:
Practice Address - Street 1:7610 34TH AVE APT 6L
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-2241
Practice Address - Country:US
Practice Address - Phone:646-208-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR073581103TP2701X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy