Provider Demographics
NPI:1467726703
Name:ALVARADO, SEAN JUDE (LCPC)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:JUDE
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6626 SNOW HILL RD
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21863-3302
Mailing Address - Country:US
Mailing Address - Phone:443-783-5225
Mailing Address - Fax:
Practice Address - Street 1:1813 SWEETBAY DR STE 7
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1663
Practice Address - Country:US
Practice Address - Phone:443-783-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4362101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD667068700Medicaid
MDEJ730001OtherCAREFIRST
MDR968OtherCAREFIRST BCBS FEDERAL
MD522156095OtherCOMMERCIAL INS
MDEJ730001OtherCAREFIRST