Provider Demographics
NPI:1710179767
Name:ALVAREZ, KATHERINE T (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:T
Last Name:ALVAREZ
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 1:9381 BLOOMFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5907
Mailing Address - Country:US
Mailing Address - Phone:305-965-9585
Mailing Address - Fax:
Practice Address - Street 1:9381 BLOOMFIELD DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-5907
Practice Address - Country:US
Practice Address - Phone:305-965-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW80371041C0700X
NV5183-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty