Individual provider Active NPI

Alisa Alvarez, LCSW

  • Social Worker
  • Nashua, NH
National Provider Identifier
1023774122
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
225844 Issued in MA
Practice address
71 Spit Brook Rd Ste 407
Nashua, NH 03060-5636
Phone
(978) 483-0182
Fax
(603) 589-4981
NPI assigned
Nov 12, 2021
Last updated
Nov 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 225844 MA Primary

Addresses

Primary practice location

71 Spit Brook Rd Ste 407
Nashua, NH 03060-5636

Mailing address

71 Spit Brook Rd Ste 407
Nashua, NH 03060-5636
Phone (978) 483-0182

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alisa@wanderlustservices.org Wanderlust Therapeutic Services, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wanderlust Therapeutic Services, PLLC CurrentSince Nov 16, 2021 Accepting new patients

Locations

71 Spit Brook Rd
Ste 407
Nashua, NH 03060
Phone (603) 589-9805

Organizations & group practices 1

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": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1023774122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SPIT BROOK RD STE 407",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605636",
            "telephone_number": "978-483-0182",
            "fax_number": "603-589-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SPIT BROOK RD STE 407",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605636",
            "telephone_number": "978-483-0182",
            "fax_number": "603-589-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ALISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "225844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alisa@wanderlustservices.org",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "Wanderlust Therapeutic Services, PLLC",
            "address_1": "71 Spit Brook Rd Ste 407",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030605636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.