Provider Demographics
NPI:1285062570
Name:LINARES ALVARENGA, LAUREN ALYSSA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ALYSSA
Last Name:LINARES ALVARENGA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:ALYSSA
Other - Last Name:LINARES ALVARENGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1651 3RD AVE RM 201
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3679
Mailing Address - Country:US
Mailing Address - Phone:646-784-1658
Mailing Address - Fax:
Practice Address - Street 1:1651 3RD AVE RM 201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3679
Practice Address - Country:US
Practice Address - Phone:646-784-1658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0827751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical