Healthcare Provider Details

I. General information

NPI: 1770917510
Provider Name (Legal Business Name): DANIEL ANTONY ALVALLE DSW, MBA, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 ROOSEVELT AVE.
YORK PA
17404
US

IV. Provider business mailing address

907 ROOSEVELT AVE.
YORK PA
17404
US

V. Phone/Fax

Practice location:
  • Phone: 717-510-4528
  • Fax:
Mailing address:
  • Phone: 717-510-4528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW136010
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: