Provider Demographics
NPI:1811436579
Name:ALVAREZ, RACHEL (LSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:N MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-5205
Mailing Address - Country:US
Mailing Address - Phone:732-673-7017
Mailing Address - Fax:
Practice Address - Street 1:21 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:N MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-5205
Practice Address - Country:US
Practice Address - Phone:732-673-7017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL060633001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical