Provider Demographics
NPI:1154426435
Name:ALVAREZ, ROBERTO N (MSW/LSW)
Entity type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:N
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MSW/LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 CLEVELAND TER
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2226
Mailing Address - Country:US
Mailing Address - Phone:973-680-1879
Mailing Address - Fax:973-680-1879
Practice Address - Street 1:201 LYONS AVENUS,
Practice Address - Street 2:NEWARK BETH ISRAEL MEDICAL CENTER WING H-3
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112
Practice Address - Country:US
Practice Address - Phone:973-926-6935
Practice Address - Fax:973-926-1277
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL005545001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical