1235625278 NPI number — MRS. AMY E ALVAREZ LCSW-BACS, MPH

Table of content: MRS. AMY E ALVAREZ LCSW-BACS, MPH (NPI 1235625278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235625278 NPI number — MRS. AMY E ALVAREZ LCSW-BACS, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALVAREZ
Provider First Name:
AMY
Provider Middle Name:
E
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW-BACS, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235625278
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5530 S LIBERTY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70115-5009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-452-5613
Provider Business Mailing Address Fax Number:
504-833-6731

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 JAMES DR W STE 138
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT ROSE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70087-4028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-833-6730
Provider Business Practice Location Address Fax Number:
504-833-6731
Provider Enumeration Date:
07/02/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  3541 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com