Provider Demographics
NPI:1114206521
Name:ALVAREZ, PATRICIA NIEVEZ (LICSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:NIEVEZ
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 MONTGOMERY ST STE 3
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-2046
Mailing Address - Country:US
Mailing Address - Phone:401-307-1718
Mailing Address - Fax:
Practice Address - Street 1:69 MONTGOMERY ST STE 3
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-2046
Practice Address - Country:US
Practice Address - Phone:401-307-1718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW030971041C0700X
CT128971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical