Provider Demographics
NPI:1003506056
Name:ALVALLE, DARLENE (LCSW, LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:
Last Name:ALVALLE
Suffix:
Gender:F
Credentials:LCSW, LCSW-C
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:
Other - Last Name:ALVALLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LCSW-C
Mailing Address - Street 1:450 NOLCREST RD
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5309
Mailing Address - Country:US
Mailing Address - Phone:717-954-7303
Mailing Address - Fax:
Practice Address - Street 1:450 NOLCREST RD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5309
Practice Address - Country:US
Practice Address - Phone:717-954-7303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0248691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical