Provider Demographics
NPI:1710879614
Name:ALVARADO, JAZMIN ELIZABETH
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:ELIZABETH
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7354 TOOMA ST # 230
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92139-2939
Mailing Address - Country:US
Mailing Address - Phone:619-616-5087
Mailing Address - Fax:
Practice Address - Street 1:7354 TOOMA ST # 230
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92139-2939
Practice Address - Country:US
Practice Address - Phone:619-616-5087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW128677104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker