Provider Demographics
NPI:1033427562
Name:ALFANO, SALVATORE JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SALVATORE
Middle Name:
Last Name:ALFANO
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 QUAIL CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-1686
Mailing Address - Country:US
Mailing Address - Phone:484-886-2052
Mailing Address - Fax:
Practice Address - Street 1:49 QUAIL CIR
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475-1686
Practice Address - Country:US
Practice Address - Phone:484-886-2052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0165111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical