Provider Demographics
NPI:1619320256
Name:LISA GARCIA, MSW, LCSW-C
Entity type:Organization
Organization Name:LISA GARCIA, MSW, LCSW-C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-452-7250
Mailing Address - Street 1:3016 GATEHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3025
Mailing Address - Country:US
Mailing Address - Phone:301-452-7250
Mailing Address - Fax:301-774-1610
Practice Address - Street 1:2907 OLNEY SANDY SPRING RD
Practice Address - Street 2:SUITE A
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3501
Practice Address - Country:US
Practice Address - Phone:301-452-7250
Practice Address - Fax:301-774-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10372251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health