Active NPI
Jennifer Alvaro, LCSW
- Clinical Social Worker
- Arlington, VA
National Provider Identifier
1104247907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004776
- Practice address
- 2100 Washington Blvd
Arlington, VA 22204-5703 - Phone
- (703) 228-1561
- NPI assigned
- Dec 20, 2013
- Reactivated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904004776 | VA | Primary |
Addresses
Primary practice location
2100 Washington Blvd
Arlington, VA 22204-5703
Mailing address
2100 Washington Blvd
Arlington, VA 22204-5703
Phone (703) 228-1561
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004776 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1104247907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WASHINGTON BLVD",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222045703",
"telephone_number": "703-228-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WASHINGTON BLVD",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222045703",
"telephone_number": "703-228-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARO",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"deactivation_date": "2014-04-16",
"reactivation_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904004776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.