Provider Demographics
NPI:1720457849
Name:ALVARADO-HAMILTON, JESSICA (BSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:ALVARADO-HAMILTON
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:ALVARADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8974 162ND ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5011
Mailing Address - Country:US
Mailing Address - Phone:718-206-3440
Mailing Address - Fax:718-206-3638
Practice Address - Street 1:8974 162ND ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5011
Practice Address - Country:US
Practice Address - Phone:718-206-3440
Practice Address - Fax:718-206-3638
Is Sole Proprietor?:No
Enumeration Date:2015-09-18
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101Y00000X, 101YM0800X, 104100000X, 1041C0700X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator