Provider Demographics
NPI:1538339064
Name:ALONSO, MARIA DEL PILAR (PSYD, LCSW)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL PILAR
Last Name:ALONSO
Suffix:
Gender:F
Credentials:PSYD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3191 CORAL WAY STE 623
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3213
Mailing Address - Country:US
Mailing Address - Phone:786-709-8556
Mailing Address - Fax:866-347-1629
Practice Address - Street 1:3191 CORAL WAY STE 623
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145
Practice Address - Country:US
Practice Address - Phone:786-709-8556
Practice Address - Fax:866-347-1629
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP2500X, 104100000X
FLSW71171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCS019ZOtherMEDICARE PART B
FL004831500Medicaid
FL765885100Medicaid