Provider Demographics
NPI:1427287853
Name:ALVAREZ, NADINE (MSW)
Entity type:Individual
Prefix:MS
First Name:NADINE
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CABOT RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-5177
Mailing Address - Country:US
Mailing Address - Phone:617-620-5364
Mailing Address - Fax:781-395-0198
Practice Address - Street 1:10 CABOT RD
Practice Address - Street 2:SUITE 209
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-5177
Practice Address - Country:US
Practice Address - Phone:617-620-5364
Practice Address - Fax:781-395-0198
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA214746104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker