Healthcare Provider Details

I. General information

NPI: 1043482268
Provider Name (Legal Business Name): ROXANA C ALVAREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROXANA CALZADILLA LCSW

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 GARDEN PLZ
ORLANDO FL
32803-4212
US

IV. Provider business mailing address

718 GARDEN PLZ
ORLANDO FL
32803-4212
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-8894
  • Fax: 407-894-8893
Mailing address:
  • Phone: 407-894-8894
  • Fax: 407-894-8893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW5202
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW5202
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: