MEDICARE: CELINA ALEXA ALVAREZ ASW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	121003	CA

General Provider Information

NPI Number	:	1336956259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELINA ALEXA ALVAREZ ASW

Provider Business Mailing Address
First Line	:	465 ELM AVE
Second Line	:
City	:	SEASIDE
State	:	CA
Zip	:	93955-4214
Country	:	US
Telephone Number	:	831-521-3352
Fax Number	:

Provider Business Practice Location Address
First Line	:	1713 BROADWAY AVE
Second Line	:
City	:	SEASIDE
State	:	CA
Zip	:	93955-4609
Country	:	US
Telephone Number	:	831-392-3970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	12/08/2025

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