Basic Information
Provider Information
NPI: 1548660434
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVAREZ
FirstName: APRIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9808 VENICE BLVD
Address2: STE. 700
City: CULVER CITY
State: CA
PostalCode: 902322732
CountryCode: US
TelephoneNumber: 3109453350
FaxNumber: 3109453356
Practice Location
Address1: 9961 SIERRA AVE
Address2:  
City: FONTANA
State: CA
PostalCode: 923356720
CountryCode: US
TelephoneNumber: 7602713607
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/27/2014
LastUpdateDate: 11/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  N Behavioral Health & Social Service ProvidersCounselorMental Health
101YM0800XASW68984CAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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