Provider Demographics
NPI:1518182799
Name:ALVAREZ, SANTIAGO (LCSW)
Entity Type:Individual
Prefix:
First Name:SANTIAGO
Middle Name:
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:PO BOX 2327
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95031-2327
Mailing Address - Country:US
Mailing Address - Phone:408-535-0153
Mailing Address - Fax:408-358-6314
Practice Address - Street 1:2160 THE ALAMEDA
Practice Address - Street 2:SUITE G
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1122
Practice Address - Country:US
Practice Address - Phone:408-535-0153
Practice Address - Fax:408-358-6315
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS129581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical