Provider Demographics
NPI:1952879751
Name:ALVAREZ, MARIA BEATRIZ (LCSW-R)
Entity Type:Individual
Prefix:
First Name:MARIA BEATRIZ
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 HIGHWOOD TER
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6814
Mailing Address - Country:US
Mailing Address - Phone:646-300-4586
Mailing Address - Fax:
Practice Address - Street 1:4700 BROADWAY APT 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1549
Practice Address - Country:US
Practice Address - Phone:646-300-4586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0637011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty