Provider Demographics
NPI:1427252758
Name:GARCIA, PATRICIA V (LICSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:V
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 E 57TH AVE
Mailing Address - Street 2:STE 5-198
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7028
Mailing Address - Country:US
Mailing Address - Phone:509-994-7163
Mailing Address - Fax:509-443-2306
Practice Address - Street 1:2910 E 57TH AVE
Practice Address - Street 2:STE 5-198
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7028
Practice Address - Country:US
Practice Address - Phone:509-994-7163
Practice Address - Fax:509-443-2306
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 000063061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical