Healthcare Provider Details

I. General information

NPI: 1497128821
Provider Name (Legal Business Name): PATRICIA GABRIELA LAMAS ALVAREZ ASW, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 N CENTRAL AVE
GLENDALE CA
91203-2531
US

IV. Provider business mailing address

11255 CAMARILLO ST APT 304
NORTH HOLLYWOOD CA
91602-3516
US

V. Phone/Fax

Practice location:
  • Phone: 818-547-9544
  • Fax: 818-549-9041
Mailing address:
  • Phone: 315-560-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number85547
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: