Individual
MELISSA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6666 4TH ST NW, LOS RANCHOS, NM 87107-6144
(505) 226-2766
Mailing address
6666 4TH ST NW, LOS RANCHOS, NM 87107-6144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.103253
IL
104100000X
Social Worker
150103253
IL
1041C0700X
Clinical Social Worker
Primary
149.022930
IL
1041C0700X
Clinical Social Worker
SWB-2026-0249
NM
Other
Enumeration date
08/23/2019
Last updated
05/07/2026
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