ZELDA GAIL GARCIA LCSW
NPI 1003049347
Social Worker - Clinical in Shiprock, NM

Active since September 03, 2009PECOS EnrolledAccepts Medicare Assignment
55.65/100
CMS Quality Rating
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2020, Aug 17, 2018 (2 updates tracked since 2018).

About Zelda Gail Garcia Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZELDA GAIL GARCIA LCSW (NPI 1003049347) is an individual clinical provider in Shiprock, New Mexico, licensed in New Mexico (C-11366) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003049347
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameZELDA GAIL GARCIACredential: LCSW
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 3, 2009
Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
NPI 1003049347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NM · C-11366
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
US HWY 491 NORTH, Shiprock, NM 87420

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Zelda Gail Garcia Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032538996
PECOS Enrollment IDI20200928001254
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420
Radiology (Diagnostic Radiology)
US HWY 491 NORTH
SHIPROCK, NM 87420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zelda Garcia's NPI number?

The NPI number for Zelda Garcia is 1003049347. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Zelda Garcia located?

Zelda Garcia practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Zelda Garcia's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Zelda Garcia enrolled in Medicare?

Yes. Zelda Garcia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Zelda Garcia was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.