Provider Demographics
NPI:1497128821
Name:LAMAS ALVAREZ, PATRICIA GABRIELA (ASW, MSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:GABRIELA
Last Name:LAMAS ALVAREZ
Suffix:
Gender:F
Credentials:ASW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11255 CAMARILLO ST APT 304
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91602-3516
Mailing Address - Country:US
Mailing Address - Phone:315-560-6733
Mailing Address - Fax:
Practice Address - Street 1:237 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2531
Practice Address - Country:US
Practice Address - Phone:818-547-9544
Practice Address - Fax:818-549-9041
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA855471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical