Provider Demographics
NPI:1184752685
Name:ALVAREZ, SYLVIA (LISW)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 MONTGOMERY BLVD NE
Mailing Address - Street 2:ELDORADO HS
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2602
Mailing Address - Country:US
Mailing Address - Phone:505-296-4871
Mailing Address - Fax:
Practice Address - Street 1:11300 MONTGOMERY BLVD NE
Practice Address - Street 2:ELDORADO HS
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2602
Practice Address - Country:US
Practice Address - Phone:505-296-4871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI 2139104100000X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMH 3186Medicaid