Provider Demographics
NPI:1427175280
Name:ALVAREZ, CANDICE ANNE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:CANDICE
Middle Name:ANNE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:CANDICE
Other - Middle Name:KOLES
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:65 MOUNTAIN BLVD EXT
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2632
Mailing Address - Country:US
Mailing Address - Phone:908-231-9020
Mailing Address - Fax:732-356-0507
Practice Address - Street 1:65 MOUNTAIN BLVD EXT
Practice Address - Street 2:SUITE 210
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-2632
Practice Address - Country:US
Practice Address - Phone:908-231-9020
Practice Address - Fax:732-356-0507
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003670001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical