Provider Demographics
NPI:1073987566
Name:ALVES, ANN M (LCSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:ALVES
Suffix:
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 1:728 GREENS AVE APT 27
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-4928
Mailing Address - Country:US
Mailing Address - Phone:845-797-4355
Mailing Address - Fax:
Practice Address - Street 1:728 GREENS AVE APT 27
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-4928
Practice Address - Country:US
Practice Address - Phone:845-797-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-20
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057432001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical