KELLI DEE GARCIA (LCSW) – Clinical Social Worker, NPI 1114111929

KELLI DEE GARCIA (LCSW) is a healthcare provider. based in Eugene, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LW60632212 (WA). The NPI Number for KELLI DEE GARCIA (LCSW) is 1114111929

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KELLI DEE GARCIA (LCSW)
NPI
1114111929
Phone
(970) 629-1771
Address
1790 W 11th Ave
Enumeration Date
5 September 2007
Last Update Date
28 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8666300966
Graduation Year
2012 (14 years ago)
PAC ID
5294096228
Group Practice PAC ID
3577099621
Professional Enrollment ID
I20250411000502
Address ID
WA980046901BE1400XSEXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for KELLI DEE GARCIA (LCSW)

  • 1790 W 11th Ave

    suite 290

    Eugene, OR 974023758

    Phone: (970) 629-1771

    Type: Location

  • 267 6th St

    Meeker, CO 816410000

    Phone: (970) 878-5112

    Fax: (970) 878-4315

    Type: Location

  • 1157, Garfield Street, Meeker, Rio Blanco County, Colorado, United States

    MEEKER, CO 816413207

    Phone: (970) 230-5827

    Fax: (970) 230-5848

    Type: Mailing

  • 592, Main Street, Meeker, Rio Blanco County, Colorado, 81641, United States

    MEEKER, CO 816418164

    Phone: (970) 230-5827

    Fax: (970) 230-5848

    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: 2025-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180307002116IClinical Social WorkerCOTBD
I20250411000502IClinical Social WorkerWATBD

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 97402)

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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: 3577099621View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMN
Clinical Social WorkerCO
Mental Health CounselorMI
Clinical Social WorkerCO
Clinical Social WorkerOR
Nurse PractitionerWA
Mental Health CounselorCO
Mental Health CounselorCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLI DEE GARCIA (LCSW)?
KELLI DEE GARCIA (LCSW) — NPI 1114111929 — is the standard way to identify this listing.
Is KELLI DEE GARCIA (LCSW) still practicing?
KELLI DEE GARCIA (LCSW) is currently listed as active in the public NPI registry.
What is KELLI DEE GARCIA (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for KELLI DEE GARCIA (LCSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for KELLI DEE GARCIA (LCSW)?
KELLI DEE GARCIA (LCSW)'s geographic hint is Eugene, Oregon in our summary view.
Is the information about KELLI DEE GARCIA (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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