Healthcare Provider Details

I. General information

NPI: 1659740132
Provider Name (Legal Business Name): LINDA ALVAREZ LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RICHMOND SQ STE 129C
PROVIDENCE RI
02906-5155
US

IV. Provider business mailing address

PO BOX 102
LINCOLN RI
02865-0102
US

V. Phone/Fax

Practice location:
  • Phone: 401-484-7714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: