Healthcare Provider Details

I. General information

NPI: 1881055481
Provider Name (Legal Business Name): ELIZABETH ALBAREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2016
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15544 W COLONIAL DR
WINTER GARDEN FL
34787-9556
US

IV. Provider business mailing address

15544 W COLONIAL DR
WINTER GARDEN FL
34787-9556
US

V. Phone/Fax

Practice location:
  • Phone: 208-681-6200
  • Fax:
Mailing address:
  • Phone: 800-457-4573
  • Fax: 800-443-6422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW34278
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW16568
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: