Provider Demographics
NPI:1922822238
Name:GARCIA, CLARA JULIANA (LMSW, LSW)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:JULIANA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HILLTOP CIR
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6328
Mailing Address - Country:US
Mailing Address - Phone:347-906-1924
Mailing Address - Fax:
Practice Address - Street 1:4 HILLTOP CIR
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6328
Practice Address - Country:US
Practice Address - Phone:347-906-1924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07220900104100000X
NY122513104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker