Provider Demographics
NPI:1235625278
Name:ALVAREZ, AMY E (LCSW-BACS, MPH)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LCSW-BACS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 S LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5009
Mailing Address - Country:US
Mailing Address - Phone:504-452-5613
Mailing Address - Fax:504-833-6731
Practice Address - Street 1:110 JAMES DR W STE 138
Practice Address - Street 2:
Practice Address - City:SAINT ROSE
Practice Address - State:LA
Practice Address - Zip Code:70087-4028
Practice Address - Country:US
Practice Address - Phone:504-833-6730
Practice Address - Fax:504-833-6731
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA35411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical