Alfonso Alvarez, LICSW

Individual provider Active NPI Clinical Social Worker · Canton, MA

NPI 1043318447 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043318447
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
111947 (MA)
Practice address
345 Neponset St
Canton, MA 02021-1940
Phone
(781) 828-1222
Fax
(781) 828-5454
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111947 MA Yes

Addresses

Primary practice location

345 Neponset St
Canton, MA 02021-1940

Mailing address

345 Neponset St
Canton, MA 02021-1940
Phone (781) 828-1222

Other providers in Canton, MA

All providers in Canton, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.