Healthcare Provider Details

I. General information

NPI: 1164573267
Provider Name (Legal Business Name): ALBA LUCIA ALVAREZ-STEWART M.S.W., L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E ELLIOT RD
GILBERT AZ
85234-6924
US

IV. Provider business mailing address

6143 S BANNING ST
GILBERT AZ
85297-8734
US

V. Phone/Fax

Practice location:
  • Phone: 480-497-0177
  • Fax:
Mailing address:
  • Phone: 480-840-6088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-1518
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: