Provider Demographics
NPI:1376824680
Name:GARCIA, MARILYN CASTILLO (LCSW)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:CASTILLO
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BEACON HILL DR APT 3G
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-7007
Mailing Address - Country:US
Mailing Address - Phone:914-258-2571
Mailing Address - Fax:914-338-7335
Practice Address - Street 1:73 MARKET ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7616
Practice Address - Country:US
Practice Address - Phone:914-295-2409
Practice Address - Fax:914-888-2155
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1091031041C0700X
VA09040131211041C0700X
NJ44SC061520001041C0700X
NY086236-011041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical