Provider Demographics
NPI:1235951807
Name:ALONZO, CAROLINA M III (LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROLINA
Middle Name:M
Last Name:ALONZO
Suffix:III
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3133 W PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85009-4227
Mailing Address - Country:US
Mailing Address - Phone:602-380-3089
Mailing Address - Fax:
Practice Address - Street 1:3133 W PIERCE ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-4227
Practice Address - Country:US
Practice Address - Phone:602-380-3089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-225881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical