Provider Demographics
NPI:1134354095
Name:GONZALEZ-ALVAREZ, SONYA M (BS,CSW,CCJP,CADC)
Entity type:Individual
Prefix:MS
First Name:SONYA
Middle Name:M
Last Name:GONZALEZ-ALVAREZ
Suffix:
Gender:F
Credentials:BS,CSW,CCJP,CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SAINT MORITZ DR
Mailing Address - Street 2:
Mailing Address - City:ERIAL
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-3210
Mailing Address - Country:US
Mailing Address - Phone:856-534-8999
Mailing Address - Fax:
Practice Address - Street 1:16 ST. MORITZ DRIVE
Practice Address - Street 2:
Practice Address - City:ERIAL
Practice Address - State:NJ
Practice Address - Zip Code:08081-3210
Practice Address - Country:US
Practice Address - Phone:856-534-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJICADC 25183101YA0400X
NJ44SW00807400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker