Healthcare Provider Details

I. General information

NPI: 1619420429
Provider Name (Legal Business Name): ALEX ALVAREZ LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 07/05/2024
Certification Date: 07/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 MISSION ST
SAN FRANCISCO CA
94110-3917
US

IV. Provider business mailing address

10079 TUZZA CT
ELK GROVE CA
95757-5503
US

V. Phone/Fax

Practice location:
  • Phone: 415-229-0500
  • Fax: 415-647-0740
Mailing address:
  • Phone: 916-753-6722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number113235
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: