Provider Demographics
NPI:1033815931
Name:HUERTA, ALVARO E (LCSW)
Entity Type:Individual
Prefix:
First Name:ALVARO
Middle Name:E
Last Name:HUERTA
Suffix:
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 1:9 WINNIPAUK DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-1514
Mailing Address - Country:US
Mailing Address - Phone:203-515-1249
Mailing Address - Fax:
Practice Address - Street 1:100 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5010
Practice Address - Country:US
Practice Address - Phone:203-299-1315
Practice Address - Fax:203-299-0015
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT127901041C0700X
CT58.0127901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical