MR. JACOB C GARCIA (LCSW) – Clinical Social Worker, NPI 1487990537

MR. JACOB C GARCIA (LCSW) is a healthcare provider. based in Niceville, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. M-07715 (NM). The NPI Number for MR. JACOB C GARCIA (LCSW) is 1487990537

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACOB C GARCIA (LCSW)
NPI
1487990537
Phone
(850) 279-4576
Address
199 JONES AVE
Enumeration Date
18 December 2012
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502267666
Graduation Year
2011 (15 years ago)
PAC ID
2264893585
Group Practice PAC ID
4981922747
Professional Enrollment ID
I20230803001024
Address ID
FL325485069FO3XXXXNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MR. JACOB C GARCIA (LCSW)

  • 199 JONES AVE

    NICEVILLE, FL 325782405

    Phone: (850) 279-4576

    Type: Location

  • 410 W 31ST ST

    SOUTH SIOUX CITY, NE 687763707

    Phone: (719) 323-4270

    Type: Mailing

  • 1551 INDIAN HILLS DR STE 214

    SIOUX CITY, IA 511041857

    Phone: (712) 255-3808

    Type: Location

  • 7615A GINKGO DR SW

    MCCHORD AFB, WA 984392219

    Phone: (719) 323-4270

    Type: Mailing

  • 690 BARNES BLVD

    JOINT BASE LEWIS MCCHORD, WA 984381336

    Phone: (253) 982-2222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230803001024IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32578)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981922747View full group profile
NameSpecialtyState
Mental Health CounselorFL
Clinical Social WorkerOR
Mental Health CounselorPA
Clinical PsychologistFL
Clinical PsychologistFL
Clinical Social WorkerFL
-MO
-PACAF
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm MR. JACOB C GARCIA (LCSW)'s NPI?
Yes. MR. JACOB C GARCIA (LCSW) is listed with NPI 1487990537 in the public NPI dataset.
Does the file indicate MR. JACOB C GARCIA (LCSW) is practicing under active NPI?
Directory data currently reports MR. JACOB C GARCIA (LCSW) as active.
What taxonomy line describes MR. JACOB C GARCIA (LCSW)?
For research purposes, treat MR. JACOB C GARCIA (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. JACOB C GARCIA (LCSW) on a map?
Expect Niceville, Florida as a primary anchor for MR. JACOB C GARCIA (LCSW) unless the record lists multiple sites.
Is the information about MR. JACOB C GARCIA (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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