Provider Demographics
NPI:1518745157
Name:ALVAREZ, COURTNEY (MSW, LCSW-BACS)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MSW, LCSW-BACS
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:CHARRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70765-0151
Mailing Address - Country:US
Mailing Address - Phone:225-776-7195
Mailing Address - Fax:
Practice Address - Street 1:30025 HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-6110
Practice Address - Country:US
Practice Address - Phone:225-776-7195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9307104100000X, 1041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical