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NPI Code Detail

MEDICARE: ALVA MARINA MADRIGAL LCSW

MEDICARE: ALVA MARINA MADRIGAL LCSW
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
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker116731CA

General Provider Information

NPI Number : 1386120392
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALVA MARINA MADRIGAL LCSW
Provider Business Mailing Address
First Line : 630 N AUGUSTA ST
Second Line :
City : FRESNO
State : CA
Zip : 93701-2387
Country : US
Telephone Number : 559-457-3420
Fax Number :
Provider Business Practice Location Address
First Line : 2309 TULARE ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-2266
Country : US
Telephone Number : 559-457-3420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2018
Last Update Date : 08/28/2025

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Directions to “ ALVA MARINA MADRIGAL LCSW” Practice Location

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