Provider Demographics
NPI:1518354703
Name:ALVAREZ-GOULD, CARLA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:ALVAREZ-GOULD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 RIVER ST
Mailing Address - Street 2:SUITE 948
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5856
Mailing Address - Country:US
Mailing Address - Phone:917-494-0403
Mailing Address - Fax:
Practice Address - Street 1:333 RIVER ST
Practice Address - Street 2:SUITE 948
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5856
Practice Address - Country:US
Practice Address - Phone:917-494-0403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056282001041C0700X
NY0755801041C0700X
DCLC500802661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical