Individual provider Active NPI

Vicky Lynn Alvarez, LMSW

  • Clinical Social Worker
  • Davison, MI
National Provider Identifier
1013029362
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1063 S State Rd Ste 8a
Davison, MI 48423-1900
Phone
(810) 771-3457
NPI assigned
Aug 31, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801071823 MI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1063 S State Rd Ste 8a
Davison, MI 48423-1900

Mailing address

PO Box 566
Davison, MI 48423-0566
Phone (810) 569-0507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000438 MI Practitioner - Clinical Social Worker 3678650256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicky Alvarez Therapy, LLCGroup PAC ID 3678927597, 5 clinicians

Practice addresses (Care Compare)

10144 E Lippincott Blvd
Davison, MI 48423-9104

2413 S Linden Rd
Suite C
Flint, MI 48532-5455
Phone (810) 771-3457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vicky Alvarez Therapy, LLC Clinical CurrentSince Sep 10, 2023 Accepting new patients
Oakland Psychological Clinic, P.C. Clinical Past Accepting new patients
Genesys Ambulatory Health Services, Inc. Past Accepting new patients
Genesys Practice Partners, Inc. Past Accepting new patients
Genesys Practice Partners, Inc. Past Accepting new patients

Locations

1063 S State Rd
Ste 8A
Davison, MI 48423
Phone (810) 214-1421

2413 S Linden Rd
Ste C
Flint, MI 48532
Phone (810) 771-3457

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1013029362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484230566",
            "telephone_number": "810-569-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 S STATE RD STE 8A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231900",
            "telephone_number": "810-771-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "VICKY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801071823",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.