MEDICARE: SCOTT ALVORD 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
1	1041C0700X	Clinical Social Worker	083643	NY
2	1041C0700X	Clinical Social Worker	50.008921	CT

General Provider Information

NPI Number	:	1932596517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT ALVORD LCSW

Provider Business Mailing Address
First Line	:	39 BIRCHWOOD RD
Second Line	:
City	:	MONROE
State	:	CT
Zip	:	06468-1021
Country	:	US
Telephone Number	:	203-803-9734
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 BIRCHWOOD RD
Second Line	:
City	:	MONROE
State	:	CT
Zip	:	06468-1021
Country	:	US
Telephone Number	:	203-803-9734
Fax Number	:

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

Provider Enumeration Date	:	04/21/2015
Last Update Date	:	11/16/2022

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Directions to “ SCOTT ALVORD LCSW” Practice Location

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