Provider Demographics
NPI:1508179201
Name:ALVAREZ, GERARDO FERNANDO (LCSW)
Entity Type:Individual
Prefix:
First Name:GERARDO
Middle Name:FERNANDO
Last Name:ALVAREZ
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 1:250 CATALONIA AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6730
Mailing Address - Country:US
Mailing Address - Phone:305-586-5217
Mailing Address - Fax:305-445-5982
Practice Address - Street 1:250 CATALONIA AVE STE 305
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6730
Practice Address - Country:US
Practice Address - Phone:305-586-5217
Practice Address - Fax:305-445-5982
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW88611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical