Active NPI
Juan Ygnacio Alvarez, MSW
- Clinical Social Worker
- Kemah, TX
National Provider Identifier
1144637406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17088
- Practice address
- 1003 Island View St
Kemah, TX 77565-2168 - Phone
- (281) 334-4389
- NPI assigned
- Jul 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3122 | TX | |
| Clinical Social Worker | 1041C0700X | 17088 | TX | Primary |
| Psychiatric Hospital Unit | 273R00000X | 17088 | TX |
Addresses
Primary practice location
1003 Island View St
Kemah, TX 77565-2168
Mailing address
5656 Gasmer Dr.
Houston, TX 77035
Phone (713) 422-2650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3122 | Other | TX | CD COUNSELOR |
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 |
|---|---|---|---|
| 17088 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1144637406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5656 GASMER DR.",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77035",
"telephone_number": "713-422-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 ISLAND VIEW ST",
"city": "KEMAH",
"state": "TX",
"postal_code": "775652168",
"telephone_number": "281-334-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "JUAN",
"middle_name": "YGNACIO",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-18",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "3122",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "17088",
"primary": true
},
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "TX",
"license": "17088",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CD COUNSELOR",
"identifier": "3122",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kemah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.