Provider Demographics
NPI:1982030078
Name:ALVES, SAMANTHA E (MSW)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:E
Last Name:ALVES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NEW WAY LN
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-2335
Mailing Address - Country:US
Mailing Address - Phone:978-290-8142
Mailing Address - Fax:
Practice Address - Street 1:6 NEW WAY LN
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-2335
Practice Address - Country:US
Practice Address - Phone:978-281-6191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker