Provider Demographics
NPI:1518156454
Name:ALVARADO, CHERYL DIANE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:DIANE
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 DAKOTA ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6805
Mailing Address - Country:US
Mailing Address - Phone:405-364-7340
Mailing Address - Fax:405-364-7340
Practice Address - Street 1:123 E TONHAWA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7209
Practice Address - Country:US
Practice Address - Phone:405-364-7340
Practice Address - Fax:405-364-7340
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK16071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical